Neurology India
menu-bar5 Open access journal indexed with Index Medicus
  Users online: 6689  
 Home | Login 
About Editorial board Articlesmenu-bullet NSI Publicationsmenu-bullet Search Instructions Online Submission Subscribe Videos Etcetera Contact
  Navigate Here 
 Resource Links
    Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
    Article in PDF (631 KB)
    Citation Manager
    Access Statistics
    Reader Comments
    Email Alert *
    Add to My List *
* Registration required (free)  

  In this Article
   Article Figures

 Article Access Statistics
    PDF Downloaded84    
    Comments [Add]    

Recommend this journal


Table of Contents    
Year : 2013  |  Volume : 61  |  Issue : 1  |  Page : 88-89

Neuro image: Other Babinski sign

Department of Neurology, New York Medical College, Valhalla, New York, USA

Date of Submission24-Jan-2013
Date of Decision25-Jan-2013
Date of Acceptance26-Jan-2013
Date of Web Publication4-Mar-2013

Correspondence Address:
Robert Fekete
Department of Neurology, New York Medical College, Valhalla, New York
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0028-3886.108031

Rights and Permissions

How to cite this article:
Patil KA, Noda S, Auten M, Fekete R. Neuro image: Other Babinski sign. Neurol India 2013;61:88-9

How to cite this URL:
Patil KA, Noda S, Auten M, Fekete R. Neuro image: Other Babinski sign. Neurol India [serial online] 2013 [cited 2020 Feb 28];61:88-9. Available from:


The other Babinski sign [1] represents simultaneous contraction of frontalis and orbicularis oculi muscles in hemifacial spasm leading to ipsilateral eyelid closure and eyebrow elevation. Hemifacial spasm may rarely coexist with blepharospasm. [2]

We present a 34-year-old male admitted for evaluation of toxic metabolic syndrome, likely due to a side effect from herbal medication. Repetitive bilateral eye blinking due to blepharospasm was observed during the interview. In addition, there was occasional right eye closure with associated right eyebrow elevation consistent with other Babinski signs in hemifacial spasm. Typically, eyelid closure in a patient with both disorders occurs asynchronously, [2] but on video evaluation, we could capture the other Babinski sign on the right with simultaneous left eye closure due to blepharospasm [[Figure 1], Video 1].
Figure 1: Other Babinski sign consisting of simultaneous right orbicularis oculi and right frontalis muscle contraction. Left eye closure is likely due to blepharospasm

Click here to view

  Acknowledgment Top

The Author would like to thank the patient for providing consent to use his photo3graph in this article.

  References Top

1.Babinski J. Hémispasme facial périphérique. [Peripheral hemifacial spasm]. Nouvelle iconographie de la Salpétrière 1905;18:418-23.  Back to cited text no. 1
2.Tan EK, Chan LL, Koh KK. Coexistent blepharospasm and hemifacial spasm: Overlapping pathophysiologic mechanism? J Neurol Neurosurg Psychiatry 2004;75:494-6.  Back to cited text no. 2


  [Figure 1]


Print this article  Email this article
Online since 20th March '04
Published by Wolters Kluwer - Medknow