Supranuclear oculomotor palsy in cerebral venous sinus thrombosis: a case report

Kumar Bismaya; Sabyasachi Pattanayak; Abhishek Dixit; Abhishek Pathak; Rameshwar Nath Chaurasia; Varun Kumar Singh

doi:10.18700/jnc.210025

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자료유형: 학술저널

저자정보: Kumar Bismaya (Banaras Hindu University) Sabyasachi Pattanayak (Banaras Hindu University) Abhishek Dixit (Banaras Hindu University) Abhishek Pathak (Banaras Hindu University) Rameshwar Nath Chaurasia (Banaras Hindu University) Varun Kumar Singh (Banaras Hindu University)

저널정보: 대한신경집중치료학회 Journal of Neurocritical Care Journal of Neurocritical Care Vol.14 No.2

발행연도: 2021.12

수록면: 113 - 116 (4page)

DOI: 10.18700/jnc.210025

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BackgroundFor certain ocular movement abnormalities, the exact neuroanatomical localization of the causative lesion is still not defined. Oculomotor apraxia, apraxia of eye opening and closing, and motor impersistence are rarely reported in acute stroke, particularly following venous stroke.Case ReportA 34-year-old man presented with headache, vomiting, focal seizures with bilateral tonic-clonic movements, and altered sensorium. Magnetic resonance imaging revealed bilateral frontal and left parietal hemorrhagic infarcts, and contrast venography revealed superior sagittal sinus thrombosis. The patient received anticoagulant treatment with antiepileptics. On re-examination on day 3, the patient had a rare combination of apraxia of eyelid closure, motor impersistence, and oculomotor apraxia. By Day 10 of admission, all oculomotor abnormalities had subsided.ConclusionTo the best of our knowledge, this is the first report of the combination of oculomotor apraxia and apraxia of eyelid closure with motor impersistence in a patient with cerebral venous sinus thrombosis.

#Sinus thrombosis #Apraxia #Frontal lobe

참고문헌 (10)

참고문헌 신청

Hamedani AG / 2017 / Eyelid dysfunction in neurodegenerative, neurogenetic, and neurometabolic disease / Front Neurol 8:329

Lewandowsky M / 1907 / Über apraxie des lidschlusses / Berl Klin Wochenschr 44:921~923

Nicoletti T / 2021 / Eyelid closing and opening disorders in patients with unilateral brain lesions : a case report with video neuroimage and a systematic review of the literature / J Clin Neurosci 87:69~73

van Koningsbruggen MG / 2012 / Neural control of voluntary eye closure : a case study and an fMRI investigation of blinking and winking / Behav Neurol 25:103~109

Cogan DG / 1953 / A type of congenital ocular motor apraxia presenting jerky head movements / Am J Ophthalmol 36:433~441

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