Onion Skin Pattern of Facial Sensory Loss in Central Pontine Hemorrhage

Ryoichi Inoue, Conor McConville, Lauren Offerle, Mohamed Ridha, Department of Neurology, The Ohio State University Wexner Medical Center, The Ohio State University College of Medicine, Division of Cerebrovascular Disease and Neurocritical Care, Department of Neurology, The Ohio State University Wexner Medical Center

The Neurohospitalist

Published online on November 20, 2025

Abstract

The Neurohospitalist, Volume 16, Issue 3, Page 319-320, July 2026.
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 ...