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Eyelid closing and opening disorders in patients with unilateral brain lesions: A case report with video neuroimage and a systematic review of the literature
Institution:1. Department of Neurosciences, Università Cattolica del Sacro Cuore, Rome, Italy;2. UOC Neurologia, Fondazione Policlinico Universitario “A. Gemelli” IRCSS, Rome, Italy;1. Hospital Madre Teresa, Belo Horizonte, MG, Brazil;2. Hospital Municipal Miguel Couto, Rio de Janeiro, RJ, Brazil;3. University of Vanderbilt, School of Medicine, Nashville, TN, USA;4. Universidade Federal Fluminense, Rio de Janeiro, RJ, Brazil;1. Department of Biomedical Engineering, Wroclaw University of Science and Technology, Wroclaw, Poland;2. Department of Neurosurgery, Queen Elizabeth Hospital Birmingham, University Hospitals Birmingham NHS FT, Birmingham, United Kingdom;3. Department of Anaesthesiology and Intensive Care, Wroclaw Medical University, Wroclaw, Poland;4. Department of Neurosurgery, Wroclaw Medical University, Wroclaw, Poland;1. Department of Head & Neck Surgery, Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center, Torrance, CA, United States;2. Department of Neurosurgery, Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center, Torrance, CA, United States;3. Department of Radiation Oncology, Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center, Torrance, CA, United States;4. Jonsson Comprehensive Cancer Center, University of California Los Angeles, Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center, Torrance, CA, United States;5. Department of Neurosurgery, Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center, Torrance, CA, United States;6. Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center, Torrance, CA, United States;1. Department of Otorhinolaryngology Head and Neck Surgery, No 2 Zheshan West Road, WuHu, China;2. Department of Neurosurgery, The First Affiliated Hospital (YiJiShan Hospital) of Wannan Medical College, No 2 Zheshan West Road, WuHu, China
Abstract:Eyelid closing or opening disorders have been only sporadically described in patients with focal brain lesions over the last decades. Furthermore, the restricted number of reports and the lack of uniform clinical assessment of affected individuals did not allow to define more in depth the clinical features and the underlying neural correlates of these uncommon clinical disorders. Here we report an 89-years old woman with a right hemispheric lesion who showed a contralesional defect of eyelid closure. We also include a video neuroimage of this case and a review of eyelid closing and opening disorders in patients with focal unilateral lesions. In this review we found a correlation between right hemisphere and eyelid motor control, particularly for apraxia of eyelid closure affecting only the contralesional eye. The right parietal lobe was most frequently affected in this unilateral form of eyelid closing disorders, whereas putamen and other subcortical structures were more involved in eyelid opening than in eyelid closing disorders. The relations between unilateral eyelid closing disorders and other forms of motor-intentional defects are shortly discussed.
Keywords:Eyelid movement disorders  Eyelid apraxia  Eyelid closing apraxia  Eyelid opening apraxia  Right hemisphere  Intentional neglect
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