Procerus sign

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Procerus sign
Other namesVertical wrinkling of the forehead
Differential diagnosis progressive supranuclear palsy, Parkinson's disease

The procerus sign (vertical wrinkling of the forehead) is a medical sign consisting of vertical forehead wrinkling around the bridge of the nose and the glabella. This can be seen in neurodegenerative diseases such as progressive supranuclear palsy.

Contents

Definition

The procerus sign is defined as wrinkling around the bridge of the nose and the glabella. [1]

Differential

The procerus sign can be seen in neurodegenerative diseases such as progressive supranuclear palsy (PSP). [2] It is highly specific to PSP compared to other disorders involving Parkinsonism. [1]

Mechanism

Dystonia of the procerus muscle or the corrugator supercilii muscle leads to abnormal muscle contraction. [1] It is present both when the eyes are open and when they are closed, including during blinking. [3]

History

The procerus sign may also be known as "vertical wrinkling of the forehead" because it often does not just involve the procerus muscle. [1]

References

  1. 1 2 3 4 Batla, Amit; Nehru, Ravi; Vijay, Tarun (November 2010). "Vertical wrinkling of the forehead or Procerus sign in Progressive Supranuclear Palsy". Journal of the Neurological Sciences. 298 (1–2): 148–149. doi:10.1016/j.jns.2010.08.010. PMID   20810128.
  2. ↑ McFarland, Nikolaus R. (August 2016). "Diagnostic Approach to Atypical Parkinsonian Syndromes". Continuum. 22 (4): 1117–1142. doi:10.1212/CON.0000000000000348. PMID   27495201.
  3. ↑ Romano, S.; Colosimo, C. (27 November 2001). "Procerus sign in progressive supranuclear palsy". Neurology. 57 (10): 1928. doi: 10.1212/WNL.57.10.1928 . PMID   11723296.
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