Right putamen hemorrhage manifesting as apraxia of eyelid opening
Yi-Hui Lin,1 Li-Min Liou,2,3 Chiou-Lian Lai,1,2 Yang-Pei Chang1,2 1Department of Neurology, Kaohsiung Medical University Hospital, 2Department of Neurology, Faculty of Medicine, College of Medicine, Kaohsiung Medical University, 3Department of Neurology, Kaohsiung Municipal Hsiao-Kang Hospital, Kaoh...
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Dove Medical Press
2013
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oai:doaj.org-article:2e2aa37fa5324837b910bf934d9eb6ea2021-12-02T02:16:15ZRight putamen hemorrhage manifesting as apraxia of eyelid opening1176-63281178-2021https://doaj.org/article/2e2aa37fa5324837b910bf934d9eb6ea2013-09-01T00:00:00Zhttp://www.dovepress.com/right-putamen-hemorrhage-manifesting-as-apraxia-of-eyelid-opening-a14495https://doaj.org/toc/1176-6328https://doaj.org/toc/1178-2021Yi-Hui Lin,1 Li-Min Liou,2,3 Chiou-Lian Lai,1,2 Yang-Pei Chang1,2 1Department of Neurology, Kaohsiung Medical University Hospital, 2Department of Neurology, Faculty of Medicine, College of Medicine, Kaohsiung Medical University, 3Department of Neurology, Kaohsiung Municipal Hsiao-Kang Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan Purpose: The purpose of this report is to demonstrate a rare clinical manifestation of apraxia eyelid opening related to a basal ganglia lesion. Case report: In this study, we report a 91-year-old woman suffering from difficulty in eyelid opening after being treated for myocardial ischemia with dual antiplatelet medications. She could open her eyelid with fingers touching her forehead. Brain computed tomography revealed a right putamen hemorrhage. Surface electromyography revealed persistent frontalis muscle contraction during relaxation of orbicularis oculi muscles. Apraxia of eyelid opening was diagnosed. Her eyelid symptom resolved 2 months later. Conclusion: Apraxia of eyelid opening may be caused by subcortical hemorrhage of the basal ganglia. In addition to the primary motor cortex and supplemental motor area, the basal ganglia may also play a role in eyelid opening. Keywords: intracranial hemorrhage, basal ganglia, orbicularis oculi muscle, frontalis muscleLin YHLiou LMLai CLChang YPDove Medical PressarticleNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2013, Iss default, Pp 1495-1497 (2013) |
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Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 |
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Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Lin YH Liou LM Lai CL Chang YP Right putamen hemorrhage manifesting as apraxia of eyelid opening |
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Yi-Hui Lin,1 Li-Min Liou,2,3 Chiou-Lian Lai,1,2 Yang-Pei Chang1,2 1Department of Neurology, Kaohsiung Medical University Hospital, 2Department of Neurology, Faculty of Medicine, College of Medicine, Kaohsiung Medical University, 3Department of Neurology, Kaohsiung Municipal Hsiao-Kang Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan Purpose: The purpose of this report is to demonstrate a rare clinical manifestation of apraxia eyelid opening related to a basal ganglia lesion. Case report: In this study, we report a 91-year-old woman suffering from difficulty in eyelid opening after being treated for myocardial ischemia with dual antiplatelet medications. She could open her eyelid with fingers touching her forehead. Brain computed tomography revealed a right putamen hemorrhage. Surface electromyography revealed persistent frontalis muscle contraction during relaxation of orbicularis oculi muscles. Apraxia of eyelid opening was diagnosed. Her eyelid symptom resolved 2 months later. Conclusion: Apraxia of eyelid opening may be caused by subcortical hemorrhage of the basal ganglia. In addition to the primary motor cortex and supplemental motor area, the basal ganglia may also play a role in eyelid opening. Keywords: intracranial hemorrhage, basal ganglia, orbicularis oculi muscle, frontalis muscle |
format |
article |
author |
Lin YH Liou LM Lai CL Chang YP |
author_facet |
Lin YH Liou LM Lai CL Chang YP |
author_sort |
Lin YH |
title |
Right putamen hemorrhage manifesting as apraxia of eyelid opening |
title_short |
Right putamen hemorrhage manifesting as apraxia of eyelid opening |
title_full |
Right putamen hemorrhage manifesting as apraxia of eyelid opening |
title_fullStr |
Right putamen hemorrhage manifesting as apraxia of eyelid opening |
title_full_unstemmed |
Right putamen hemorrhage manifesting as apraxia of eyelid opening |
title_sort |
right putamen hemorrhage manifesting as apraxia of eyelid opening |
publisher |
Dove Medical Press |
publishDate |
2013 |
url |
https://doaj.org/article/2e2aa37fa5324837b910bf934d9eb6ea |
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