PMC5226044_01
A) Barre sign. B) Curtain sign. C) Trissulcated tongue.
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Neurology service of our hospital reporting diplopia, dysphagia, dysphonia, and slight limbs weakness that became worse throughout the day for the last seven years. Neurologic examination disclosed palsy of orbicularis oculi muscles configuring the Barre sign (Figure 1A), and paralysis of palate elevation. Neurologic exam revealed restriction of upward gaze and uvula deviation to the left side: the curtain sign (Figure 1B). Neurologic examination showed previous findings and trissulcated tongue (Figure 1C).