Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2016 Feb;6(1):e8-e9.
doi: 10.1212/CPJ.0000000000000206.

Ipsilateral eye closure and hemifacial weakness: Useful clinical clue to diagnose pseudostroke

Natalie Gillson  1 , Abdul L Khuhro  1 , Debabrata Ghosh  1
Affiliations
Case Reports

Ipsilateral eye closure and hemifacial weakness: Useful clinical clue to diagnose pseudostroke

Natalie Gillson et al. Neurol Clin Pract. 2016 Feb.
No abstract available

PubMed Disclaimer

Figures

None
Patient photo Figure. Left hemifacial weakness with asymmetric smile, angle of mouth deviated to the right, and left lower hemifacial droop. Instead of wide opening, there is closure of the ipsilateral (left) eye due to contraction of the orbicularis oculi muscle, which defies anatomy of the facial nerve or its nucleus. This observation points to a psychogenic etiology. An additional sign of contralateral elevation of the right eyebrow in the setting of left eye closure is the reverse of the Babinski 2 sign, also implying a psychogenic etiology.
See this image and copyright information in PMC

References

    1. Stamey W, Jankovic J. The other Babinski sign in hemifacial spasm. Neurology 2007;69:402–404. - PubMed
    1. Behrouz R, Benbadis SR. Psychogenic pseudostroke. J Stroke Cerebrovasc Dis 2014;23:e243–e248. - PubMed

Publication types