Summary
Eyelid motor abnormalities found in progressive supranuclear palsy are reviewed. Electrophysiological correlates of blepharospasm, levator inhibition (blepharokolysis) and supranuclear paralysis of lid closure are presented.
Disorders of eyelid motility are not uncommon in progressive supranuclear palsy (PSP). They may be found in about one third of patients with this syndrome (Jackson et al., 1983; Golbe et al., 1989). This is not surprising since ocular and eyelid movements are highly coordinated, mainly in the vertical plane (Gordon, 1951; Kennard and Smith, 1963; Kennard and Glaser, 1964), and a supranuclear ophthalmoplegia with down gaze impairment is a cardinal feature of PSP (Steele et al., 1964). The spectrum of eyelid motor disorders described in PSP includes blinking abnormalities, lid retraction, blepharospasm, levator inhibition and supranuclear palsy of eye closure.
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References
Ascher P, Gachelin G (1966/1967) Rôle du colliculus supérieur dans l’elaboration de réponses motrices á des stimulations visuelles. Brain Res 3: 327–342.
Berardelli A, Rothwell JL, Day BL, Marsden CD (1985) Pathophysiology of blepharo-spasm and oromandibular dystonia. Brain 108: 593–608.
Blin J, Baron JC, Dubois B, Pillon B, Cambon H, Cambier J, Agid Y (1990) Positron emission tomography study in progressive supranuclear palsy. Brain hypometabolic pattern and clinicometabolic correlations. Arch Neurol 47: 747–757.
Björk A, Kugelberg E (1953) The electrical activity of the muscles of the eye and eyelids in various positions and during movement. Electroencephalogr Clin Neuro-physiol 5: 595–602.
Brusa A, Mancardi GL, Bugiani D (1980) Progressive supranuclear palsy 1979: an overview. Ital J Neurol Sci 4: 205–222.
Case records of the Massachusetts General Hospital (1975) N Engl J Med 293: 346–352.
David NJ, Mackey EA, Smith JL (1968) Further observations in progressive supranuclear palsy. Neurology 18: 349–356.
Dehane I (1984) Apraxia of eyelid opening in progressive supranuclear palsy. Ann Neurol 15:115.
Dix MR, Harrison MJG, Lewis PD (1971) Progressive supranuclear palsy (The Steele-Richardson-Olszewski syndrome). A report of 9 cases with particular reference to the mechanism of the oculomotor disorders. J Neurol Sci 13: 237–256.
Esteban A, De Andrés C, Giménez-Roldán (1978) Abnormalities of Bell’s phenomenon in amyotrophic lateral sclerosis. J Neurol Neurosurg Psychiatry 41: 690–698.
Esteban A, Giménez-Roldán S (1988) Involuntary closure of the eyelids in parkin-sonism. Electrophysiological evidence for prolonged inhibition of the levator palpebrae superioris muscles. J Neurol Sci 85: 333–345.
Esteban A, Salinero E (1979) Reciprocal reflex activity in ocular muscles: implications in spontaneous blinking and Bell’s phenomenon. Eur Neurol 18: 157–165.
Ghika J, Regli F, Assal G, Bogousslavsky J (1988) Inability to voluntarily close the eyes. Discussion of supranuclear disorders in palpebral closure based on 2 cases, with a review of the literature. Schweiz Arch Neurol Psychiatr 139: 5–21.
Gibb WR, Lees AJ, Marsden CD (1988) Pathological report of four patients presenting with cranial dystonias. Mov Disord 3: 211–221.
Goffinet AM, De Voider AG, Guillain C, Rectem D, Bol A, Michel C, Cogneau M, Labar D, Laterre C (1989) Positron tomography demonstrates frontal lobe hypometabolism in progressive supranuclear palsy. Ann Neurol 25: 131–139.
Golbe LI, Davis PH, Lepore FE (1989) Eyelid movement abnormalities in progressive supranuclear palsy. Mov Disord 4: 297–302.
Goldstein JE, Cogan DG (1965) Apraxia of lid opening. Arch Ophthalmol 73: 155–159.
Gordon G (1951) Observations upon the movements of the eyelids. Br J Ophthalmol 35: 339–351.
Grandas F (1989) Blepharospasm: clinical aspects and therapeutic considerations. Disorders of movement: clinical, pharmacological and physiological aspects. Academic Press, London, pp 287–294.
Jackson JA, Jankovic J, Ford J (1983) Progressive supranuclear palsy: clinical features and response to treatment in 16 patients. Ann Neurol 13: 273–278.
Jankovic J (1984) Apraxia of eyelid opening in progressive supranuclear palsy. Reply. Ann Neurol 15: 115–116.
Jankovic J, Friedman D, Rey GJ, Levy J, Pirozzol FJ (1988) Progressive supranuclear palsy: clinical and neuroophthalmological findings in 87 patients. Book of abstracts. Ninth international symposium on Parkinson’s disease, Jerusalem, p 82.
Jankovic J, Patel SC (1983) Blepharospasm associated with brainstem lesions. Neurology 33: 1237–1240.
Karson CN (1983) Spontaneous eye-blink rates and dopaminergic systems. Brain 106: 643–653.
Karson CN (1988) Physiology of normal and abormal blinking. Adv Neurol 49: 25–37.
Karson CN, Burns RS, Lewitt PA, Foster NL, Newman RP (1984) Blink rates and disorders of movement. Neurology 34: 677–678.
Keane JR, Young JA (1985) Blepharospasm with bilateral basal ganglia infarction. Arch Neurol 42: 1206–1208.
Kennard DW, Glaser GH (1964) An analysis of eyelid movements. J Nerv Ment Dis 139: 31–48.
Kennard DW, Smyth GL (1963) Interation of mechanisms causing eye and eyelid movement. Nature 197: 50–52.
Kristensen MD (1985) Progressive supranuclear palsy—20 years later. Acta Neurol Scand 71: 177–189.
Leenders KL, Frackowiak RS, Quinn N, Brooks D, Summer D, Marsden CD (1986) Ipsilateral blepharospasm and contralateral hemidystonia and parkinsonism in a patient with unilateral rostral brainstem-thalamic lesion: structural and functional abnormalities studied with CT, MRI and PET scanning. Mov Disord 1: 51–58.
Lees A (1987) The Steele-Richardson-Olszewski syndrome (progressive supranuclear palsy). In: Movement disorders, vol 2. Butterworths, London, pp 272–287.
Lepore FE (1988) So-called apraxias of lid movement. Adv Neurol 49: 85–90.
Lepore FE, Duvoisin RC (1985) “Apraxia” of eyelid opening: an involuntary levator inhibition. Neurology 35: 423–427.
Lewandowsky M (1907) Über Apraxie des Lidschlusses. Berl Klin Wschr 44: 921–923.
Lessel S (1972) Supranuclear paralysis of voluntary lid closure. Arch Ophthalmol 88: 241–244.
Loeffler JD, Slatt B, Hoyt WF (1966) Motor abnormalities of the eyelids in Parkinson’s disease. Arch Ophthalmol 76: 178–185.
Maher ER, Lees AJ (1986) The clinical features and natural history of the Steele-Richardson-Olszewski syndrome (progressive supranuclear palsy). Neurology 36: 1005–1008.
Mastaglia FL, Grainger K, Kee F, Sadka M, Lefroy R (1973) Progressive supranuclear palsy (The Steele-Richardson-Olszewski syndrome): clinical and electrophysiological observations in eleven cases. Proc Aust Assoc Neurol 10: 35–44.
Nishimura M, Tojima M, Suga M, Hirose K, Tanabe H (1990) Chronic progressive spinobulbar spasticity with disturbance of voluntary eyelid closure. J Neurol Sci 96: 183–190.
Nashold BS, Gills P (1967) Ocular signs from brain stimulation and lesions. Arch Ophthalmol 77: 609–618.
Pasik P, Pasik T, Bender MB (1969) The pretectal syndrome in monkeys I. Disturbances of gaze and body postures. Brain 92: 521–534.
Pfaffenbach D, Layton DD, Kearns TD (1972) Ocular manifestations in progressive supranuclear palsy. Am J Ophthalmol 74: 1179–1184.
Powers JM (1985) Blepharospasm due to unilateral diencephalon infarction. Neurology 35: 283–284.
Rotwell JC, Obeso JA, Day BL, Marsden CD (1983) Pathophysiology of dystonias. Adv Neurol 39: 851–864.
Russell RRW (1980) Supranuclear palsy of eyelid closure. Brain 103: 71–82.
Schmidtke K, Büttner-Ennever JA (1992) Nervous control of eyelid function. A review of clinical, experimental and pathological data. Brain 115: 227–247.
Sing S, Smith BL, Lal A (1974) Progressive supranuclear palsy: report of 4 cases with particular reference to blepharospasm and levodopa therapy. Neurol India 22: 65–71.
Steele JC, Richardson JC, Olszewski J (1964) Progressive supranuclear palsy. Arch Neurol 10: 333–359.
Sunohara N, Mukoyama M, Funamoto H, Kamei N, Tomi H, Satoyoshi E (1989) Supranuclear paralysis preventing lid closure in amyotrophic lateral sclerosis. Jpn J Med 28: 515–519.
Van Allen MB, Blodi FC (1962) Electromyographic study of reciprocal innervation in blinking. Neurology 12: 337–371.
Younger DS, Chou S, Hays AP, Lange DJ, Emerson R, Brin M, Thompson H, Rowland P (1988) Primary lateral sclerosis: a clinical diagnosis reemerges. Arch Neurol 45: 1034–1037.
Zee DS, Chu FC, Leigh RJ, Savind PJ, Schatz NJ, Reingold DB, Cogan DG (1983) Blink-sacade synkinesis. Neurology 33: 1233–1236.
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© 1994 Springer-Verlag Wien
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Grandas, F., Esteban, A. (1994). Eyelid motor abnormalities in progressive supranuclear palsy. In: Tolosa, E., Duvoisin, R., Cruz-Sánchez, F.F. (eds) Progressive Supranuclear Palsy: Diagnosis, Pathology, and Therapy. Journal of Neural Transmission. Supplementa, vol 42. Springer, Vienna. https://doi.org/10.1007/978-3-7091-6641-3_3
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DOI: https://doi.org/10.1007/978-3-7091-6641-3_3
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