Apraxia of Eyelid Opening After Brain Injury: A Case Report
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Apraxia of eyelid opening (AEO) is a syndrome characterized by the patient’s difficulty in initiating eyelid elevation spontaneously. Most of the reported cases were associated with extrapyramidal diseases. We report a case of AEO presented after traumatic brain injury, not with extrapyramidal diseases, and improved by dopaminergic treatment. A 49-year-old man underwent a traffic accident and was transferred to the emergency room in an unconscious state. Brain computed tomography (CT) revealed a subdural and epidural hemorrhage at right temporal and bilateral frontal lobes, and he received burr-hole trephination. After receiving comprehensive treatment including occupational therapy, cognition and mobility gradually improved, but he could not open his eyes voluntarily. With dopaminergic treatment (levodopa/benserazide 200/50 mg), he started to open his eyes spontaneously, especially when eating and undergoing physical training. This case showed that AEO may occur after brain injury and that dopaminergic treatment is beneficial also in AEO patients without extrapyramidal diseases.
Abstract
Apraxia of eyelid opening (AEO) is a syndrome characterized by the patient’s difficulty in initiating eyelid elevation spontaneously. Most of the reported cases were associated with extrapyramidal diseases. We report a case of AEO presented after traumatic brain injury, not with extrapyramidal diseases, and improved by dopaminergic treatment. A 49-year-old man underwent a traffic accident and was transferred to the emergency room in an unconscious state. Brain computed tomography (CT) revealed a subdural and epidural hemorrhage at right temporal and bilateral frontal lobes, and he received burr-hole trephination. After receiving comprehensive treatment including occupational therapy, cognition and mobility gradually improved, but he could not open his eyes voluntarily. With dopaminergic treatment (levodopa/benserazide 200/50 mg), he started to open his eyes spontaneously, especially when eating and undergoing physical training. This case showed that AEO may occur after brain injury and that dopaminergic treatment is beneficial also in AEO patients without extrapyramidal diseases.
참고문헌 (10)
- Goldstein JE, "Apraxia of lid opening", Arch Ophthalmol, 73, pp.155~159 (1965)
- Riese W, "Apraxia der lidoffnung (analyse einer bewegungsstorung)", J Psychol Neurol Lpz, 40, pp.347~355 (1930)
- Smith D, "Lid opening apraxia is associated with medial frontal hypometabolism", Mov Disord, 10, pp.341~344 (1995)
- Dewey RB Jr, "Isolated eyelid-opening apraxia: report of a new levodopa-responsive syndrome", Neurology, 44, pp.1752~1754 (1994)
- Yamada S, "The effects of levodopa on apraxia of lid opening: a case report", Neurology, 62, pp.830~831 (2004)
- Lee KC, "Apraxia of lid opening:dose-dependent response to carbidopa-levodopa", Pharmacotherapy, 24, pp.401~403 (2004)
- Umemura A, "Apraxia of eyelid opening after subthalamic deep brain stimulation may be caused by reduction of levodopa", Parkinsonism Relat Disord, 14, pp.655~657 (2008)
- Schmidtke K, "Nervous control of eyelid function: a review of clinical, experimental and pathological data", Brain, 115(Pt 1), pp.227~247 (1992)
- Esteban A, "Eyelid movements in health and disease: the supranuclear impairment of the palpebral motility", Neurophysiol Clin, 34, pp.3~15 (2004)
- Lee SS, "Can subcortical infarction cause apraxia of eyelid opening?", J Clin Neurosci, 18, pp.1399~1400 (2011)