 |
| LETTER TO EDITOR |
|
|
|
| Year : 2013 | Volume
: 61
| Issue : 1 | Page : 88-89 |
Neuro image: Other Babinski sign
Kiran A Patil, Sakura Noda, Meghan Auten, Robert Fekete
Department of Neurology, New York Medical College, Valhalla, New York, USA
| Date of Submission | 24-Jan-2013 |
| Date of Decision | 25-Jan-2013 |
| Date of Acceptance | 26-Jan-2013 |
| Date of Web Publication | 4-Mar-2013 |
Correspondence Address:
Robert Fekete
Department of Neurology, New York Medical College, Valhalla, New York
USA
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0028-3886.108031
How to cite this article:
Patil KA, Noda S, Auten M, Fekete R. Neuro image: Other Babinski sign. Neurol India 2013;61:88-9 |
Sir,
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 | |  |
The Author would like to thank the patient for providing consent to use his photo3graph in this article.
| » References | | |
| 1. | Babinski J. Hémispasme facial périphérique. [Peripheral hemifacial spasm]. Nouvelle iconographie de la Salpétrière 1905;18:418-23. 
|
| 2. | Tan EK, Chan LL, Koh KK. Coexistent blepharospasm and hemifacial spasm: Overlapping pathophysiologic mechanism? J Neurol Neurosurg Psychiatry 2004;75:494-6.
|
[Figure 1]
|
