Impossibilité à la fermeture volontaire des paupières. Discussion sur les troubles supranucléaires de la fermeture palpébrale à partir de 2 cas, avec revue de la littérature [Inability to voluntarily close the eyes. Discussion of supranuclear disorders in palpebral closure based on 2 cases, with a review of the literature].

Details

Serval ID
serval:BIB_7B7849D7A8D5
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Impossibilité à la fermeture volontaire des paupières. Discussion sur les troubles supranucléaires de la fermeture palpébrale à partir de 2 cas, avec revue de la littérature [Inability to voluntarily close the eyes. Discussion of supranuclear disorders in palpebral closure based on 2 cases, with a review of the literature].
Journal
Schweizer Archiv Für Neurologie Und Psychiatrie
Author(s)
Ghika J., Regli F., Assal G., Bogousslavsky J.
ISSN
0258-7661 (Print)
ISSN-L
0258-7661
Publication state
Published
Issued date
1988
Volume
139
Number
6
Pages
5-21
Language
french
Notes
Publication types: Case Reports ; English Abstract ; Journal Article ; Review
Publication Status: ppublish
Abstract
We studied 2 cases of supranuclear palsy of eye closure in patients who were unable to close their lids under command, but still conserved the possibility of closing them by syncinetic or reflex stimulations as well as during the sleep. The first patient had bilateral infarcts in sylvian watershed zones of fronto-parietal lobe and the second patient had a right cortico-subcortical superficial sylvian infarct. None of the 2 cases had an evolution towards motor impersistence of lid closure. We made a review of the literature and exposed the most debated hypothesis about this phenomenon, i.e. apraxia of lid closure or liberation of "grasping" phenomenon on the face. We expose the possibility of a disconnexion syndrome between motor supplementary area of the right hemisphere, supposed to be dominant for lid closure, and the premotor cortex area, based on reconstructions from CT Scan.
Keywords
Aged, Blepharospasm/physiopathology, Blinking, Carotid Artery Thrombosis/physiopathology, Cerebral Infarction/physiopathology, Dominance, Cerebral/physiology, Eyelid Diseases/physiopathology, Eyelids/innervation, Frontal Lobe/physiopathology, Humans, Male, Middle Aged, Parietal Lobe/physiopathology, Supranuclear Palsy, Progressive/physiopathology
Pubmed
Create date
25/01/2008 12:45
Last modification date
20/08/2019 15:37
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