Please use this identifier to cite or link to this item: https://ir.swu.ac.th/jspui/handle/123456789/13872
ชื่อเรื่อง: Blepharoclonus: Anatomical localization and etiological consideration
ผู้แต่ง: Methawasin K.
Bhidayasiri R.
Phanthumchinda K.
Kaufman L.
Keywords: acetylsalicylic acid
amlodipine
enalapril
adult
Article
ataxia
blepharoclonus
blepharoclonus
blood pressure
brain infarction
brain ischemia
case report
cerebrospinal fluid analysis
cerebrovascular disease
computer assisted tomography
dentate nucleus
dysdiadokokinesia
dysmetria
eye disease
eyelid disease
eyelid reflex
female
follow up
human
hydration
hypertension
myoclonus
neuroimaging
neurologic disease
nose provocation test
nuclear magnetic resonance imaging
ophthalmoscopy
palate
slurred speech
visual acuity
blepharospasm
Cerebral Infarction
complication
differential diagnosis
pathology
red nucleus
Adult
Blepharospasm
Cerebral Infarction
Diagnosis, Differential
Female
Humans
Magnetic Resonance Imaging
Red Nucleus
วันที่เผยแพร่: 2014
บทคัดย่อ: Blepharoclonus refers to myoclonic rhythmic eyelid closure. This is an extremely rare abnormal movement of the eyelids. The symptom has an ill-defined anatomical localization and hypothesized etiologies are diverse. We describe a 42 year-old woman with known poorly controlled hypertension (HTN) who presented with a three-week history of ataxia, dysmetria, and uncontrolled eyelid twitching. The bilateral abnormal eyelid movement occurred during either eyelid closure or opening, and was compatible with blepharoclonus. MRI revealed multiple cerebral infarctions at red nucleus, dentate nucleus, and inferior olives. These foci are within Guillain-Mollaret’s triangle. The ataxia and dysmetria gradually improved within three weeks. While the blepharoclonus improved, it persisted after one year of follow-up. Our conclusion was one of HTN leading to a lacunar infarct that manifested partially as blepharoclonus. Due to the neuroimaging findings and clinical course, we propose that blepharoclonus may be a variant of palatal myoclonus and may be considered as another lacunar syndrome. © 2014, Medical Association of Thailand. All rights reserved.
URI: https://ir.swu.ac.th/jspui/handle/123456789/13872
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84914104898&partnerID=40&md5=6ea4d2b158ef381db6115e843c370ee2
ISSN: 1252208
Appears in Collections:Scopus 1983-2021

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