THE “OTHERBABINSKI SIGN” IN HEMI FACIAL SPASM-A CASE REPORT
Rajasekharan C,* and Akhil Krishna
ABSTRACT
A 70-year-old lady presented with history of abnormal movements involving the right side of her face of 10 years duration. The movements were persisting during sleep. She had two sittings of botulinum toxin (BTX) chemodenervation, without any relief. Two years? before, she was advised microvasular decompression (MVD) surgery for which she was not willing. On examination she had frequent, involuntary, intermittent or continuous twitching of her right eyelid which spread to include the whole lid, the cheekbone area and then the lower jaw (figure1.Videio), and the eye closure was associated with simultaneous elevation of ipsilateral eyebrow-“brow lift sign”(figure1and2.Still image).There were no other focal neurological deficits. She was diagnosed to have typical hemifacial spasm (HFS).
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