Related Experiment Video
Updated: Jan 10, 2026

Massive Pontine Hemorrhage by Dual Injection of Autologous Blood
Published on: May 29, 2021
Onion Skin Pattern of Facial Sensory Loss in Central Pontine Hemorrhage
Ryoichi Inoue1, Conor McConville2, Lauren Offerle3
1Department of Neurology, The Ohio State University Wexner Medical Center, Columbus, OH, USA.
Abstract:
Results: We report a case of central pontine hemorrhage presenting with pinpoint pupils and a unique "onion-skin" pattern of facial sensory loss. Conclusions: This distribution of sensory loss reflects selective rostral involvement of the spinal trigeminal nucleus, in contrast to the segmental distribution seen with trigeminal nerve involvement. These findings may serve as a localizing sign of pontine pathology on clinical examination.
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