PMC5017293_01
Prominence of wrinkles on the right forehead during attempted eye opening, along with ptosis termed as frontalis sign.
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However, on close examination, we observed that there was prominence of the forehead wrinkles on the right half of his face especially when the patient was trying to open his eyes during conversation, which we termed as frontalis sign ( Figure 1).
CT head image showing evidence of right sided uncal herniation with obliteration of the ipsilateral crural and the ambient cisterns following temporo-parietal huge contusion.
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It revealed right sided huge temporo-parietal contusion with thin fronto-temporo-parietal subdural hematoma with features of uncal herniation ( Figure 2).
Resolution of the frontalis sign in the early postoperative period.
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The frontalis sign diminished following the surgery ( Figure 3).
Postoperative CT scan confirmed resolution of the mass effect and normalization of the cisternal anatomy.
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The post operative scan confirmed resolution of the mass effect and normalization of the cisternal anatomy ( Figure 4).