The authors describe the clinical and electrophysiologic findings in a pati
ent with synkinesis between muscles innervated by the facial and trigeminal
nerves after resection of a trigeminal schwannoma. Conventional facial ner
ve conduction and blink reflex studies were normal. Stimulation of the supr
aorbital and facial nerves elicited reproducible responses in the masseter
and pterygoid muscles, confirming a peripheral site of aberrant regeneratio
n of the facial and trigeminal nerves.