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Simultaneous loss of bilateral voluntary eyelid opening and sustained winking response following bilateral posterior cerebral artery infarction

Authors
 Joon Yeop Kim  ;  Yong Wook Kim  ;  Hyoung Seop Kim 
Citation
 Annals of Rehabilitation Medicine, Vol.39(2) : 303-307, 2015 
Journal Title
Annals of Rehabilitation Medicine
ISSN
 2234-0645 
Issue Date
2015
Keywords
Blinking ; Botulinum toxins ; Eyelids ; Posterior cerebral artery
Abstract
Spontaneous opening and closing of both eyes usually occurs in the normal awake state, unless a deliberate and voluntary attempt is made to open only one eye. We present a rare case of a male patient who was unable to open both eyes simultaneously after bilateral posterior cerebral artery infarction. He was able to close both eyes voluntarily. However, he was unable to keep both eyes open simultaneously and either the right or left eye remained closed. Upon a verbal command to open both eyes, the opened eye closed and the contralateral eye opened. When the closed eye was forced open, the opened eye closed. We thus presented a case of right-left dissociation of voluntary eyelid opening following bilateral posterior cerebral artery infarction, which was treated with botulinum toxin type A injection. Differential diagnosis to other movement disorders of the eyelids was discussed
DOI
10.5535/arm.2015.39.2.303
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Yong Wook(김용욱) ORCID logo https://orcid.org/0000-0002-5234-2454
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/140021
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