Yasser's Pressure Maneuver with Retrograde Yasser's Flushing Phenomenon in Left Facial Palsy with Monopelgia-Accidental New Therapeutic Discovery and Interpretation

Elsayed YMH

Published on: 2025-09-14

Abstract

Rationale: The facial nerve is one of the essential 12 cranial nerves which are highly considerable for communication and emotion. Facial nerve palsy is shared in ENT, ophthalmology, and neurological emergencies. Both paralysis and paresis of the facial nerve were documented. Monoplegia is the paralysis of a single limb, usually an arm. Monoplegia is a paralytic type of hemiplegia and it may be a precursor for hemiplegia, paraplegia, and quadriplegia. Yasser’s sphygmomanometer procedure is easy, available, quick, non-costive, time-saving, and extremely safe for psychogenic hemiplegia.

Patient concerns: A middle-aged married Housewife Egyptian female patient was presented to the physician outpatient clinic (POC) with left arm monoplegia, left facial palsy, tongue deviation, and difficulty speech.

Diagnosis: Left facial palsy and monoplegia with an innovative retrograde flushing Yasser's phenomenon post-Yasser's pressure maneuver.

Interventions: Sphygmomanometer pressure and brain CT. Outcomes: Dramatic and immediate clinical improvement occurred.

Lessons: "Yasser's pressure maneuver" is a newly described maneuver causing transient arterial compressive effects with a sphygmomanometer. It is used to relieve both monoplegia and facial palsy. The maneuver is easy, available, quick, and costless has a dramatic relief effect, and is extremely safe. "Retrograde Yasser's flushing phenomenon" is also a newly described secondary phenomenon causing retrograde arterial organ hyperemia due to transient compressive effect. It is used to relieve facial palsy. It is a reversal reflective phenomenon. Yasser’s sphygmomanometer procedure for psychogenic hemiplegia is indirectly implicated in interpretation. Future wide-research studies for "Yasser's pressure maneuver" for sensitivity and specificity will be recommended.