Abstract
The presence of voluntary eyelid movement disorders was systematically checked in 51 patients with a recent stroke supposedly confined to one hemisphere and presenting with contralateral gaze impairment.
Inability to initiate lid closure was found in 5 patients, inability to keep the eyes closed for more than 1–3 sec in 5 patients and inability to initiate eyelid opening in 1 patient. One patient failed both to close his eyes and to open them when closed. In 3 patients the deficit was restricted to the eye contralateral to the lesion. CT scan findings pointed to the parietal lobe as the cortical area more frequently encroached upon by the lesion. In one patient brain damage was restricted to the right motor supplementary area and cingulate gyrus and produced, in addition to failure to close eyelids, inability to carry out any voluntary movement governed by cranial nerves save eye movements.
Sommario
La presenza di alterazioni dei movimenti volontari delle palpebre fu sistematicamente controllata in 51 pazienti affetti da un ictus di data recente interessante un solo emisfero e che presentavano deficit dello sguardo controlaterale alla lesione. L'incapacità di chiudere le palpebre fu osservata in 5 pazienti, quella di mantenere le palpebre chiuse per piu di 1– 3 secondi in 5 pazienti e quella di aprire le palpebre in 1 paziente. Un paziente era incapace sia di chiudere gli occhi che di aprirli una volta chiusi. In 3 pazienti il deficit era presente solo nell'occhio controlaterale alla lesione. I dati forniti dalla TAC indicarono che l'area corticale più frequentemente interessata era il lobo parietale. In unpaziente il danno cerebrale era limitato all'area motoria supplementare e al giro cingolato di destra e aveva prodotto l'incapacità non solo di chiudere gli occhi, ma anche di eseguire qualsiasi altro movimento controllato dai nervi cranici, eccetto i movimenti oculari.
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Colombo, A., De Renzi, E. & Gibertoni, M. Eyelid movement disorders following unilateral hemispheric stroke. Ital J Neuro Sci 3, 25–30 (1982). https://doi.org/10.1007/BF02043344
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DOI: https://doi.org/10.1007/BF02043344