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Beum S. Kim, MD; Charles G. Maitland, MD; Peter S. Roland, MD

Arch Neurol. 1986;43(1):88-90.

Abstract
• A patient developed synkinetic movements of facial musculature and "crocodile tears" following the removal of a large acoustic neurinoma. A reflex palatal movement resulted from tactile stimulation of the lower part of the face as well. Analysis of the palatal movement suggested action of the tensor veli palatini muscle, acting in isolation. We believe the palatal contraction represents a synkinetic phenomenon involving both sensory and motor nerve fibers within the motor root of the trigeminal nerve.

Author Affiliations
From the Neuro-ophthalmology Unit, Department of Neurology (Dr Maitland), Uniformed Services University of the Health Sciences, School of Medicine, and the Departments of Neurologi' (Dr Kim) and Otolaryngology (Dr Roland), Bethesda Naval Center, Bethesda, Md. Dr Maitland is now with Tallahassee (Fla) Neurological Clinic.

Footnotes
Accepted for publication Oct 24, 1984.

Reprint requests to Tallahassee Neurological Clinic, 1401 Centerville Rd, Tallahassee, FL 32308 (Dr Maitland).

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