A Case of Pretarsal Blepharospasm Presenting as Apraxia of Lid Opening

안검개방실행증의 임상양상을 보인 검판전부의 안검경련 1례

  • Kim, Joon-Tae (Department of Neurology, Chonnam National University Medical School) ;
  • Kim, Byeong-Chae (Department of Neurology, Chonnam National University Medical School) ;
  • Hwang, In-Yong (Department of Neurology, Chonnam National University Medical School) ;
  • Lee, Sung-Min (Department of Neurology, Chonnam National University Medical School) ;
  • Choi, Sung-Min (Department of Neurology, Chonnam National University Medical School) ;
  • Son, Eui-Ju (Department of Neurology, Chonnam National University Medical School) ;
  • Kim, Myeong-Kyu (Department of Neurology, Chonnam National University Medical School) ;
  • Cho, Ki-Hyun (Department of Neurology, Chonnam National University Medical School)
  • 김준태 (전남대학교 의과대학 신경과학교실) ;
  • 김병채 (전남대학교 의과대학 신경과학교실) ;
  • 황인용 (전남대학교 의과대학 신경과학교실) ;
  • 이성민 (전남대학교 의과대학 신경과학교실) ;
  • 최성민 (전남대학교 의과대학 신경과학교실) ;
  • 손의주 (전남대학교 의과대학 신경과학교실) ;
  • 김명규 (전남대학교 의과대학 신경과학교실) ;
  • 조기현 (전남대학교 의과대학 신경과학교실)
  • Published : 2002.05.01

Abstract

Blepharospasm and apraxia of lid opening(ALO) are non-paralytic causes of involuntary eyelid closure. Clinically it is difficult to differentiate blepharospasm and ALO, and these two conditions are sometimes associated. We report a case of pretarsal blepharospasm presenting as apraxia of lid opening. 55-year-old woman was noted to have voluntary eye opening difficulty. We synchronously record the electromyographic(EMG) from the levator palpebrae superioris and the orbicularis oculi muscles in this patient. This results suggested that she has a variant of blepharospasm due to abnormal contraction in the pretarsal orbicularis oculi.

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