Sakajiri K, Matsubara N, Nakajima T, Fukuhara N, Bandoh M
National Saigata Hospital, Department of Neurology.
Rinsho Shinkeigaku. 1995 Feb;35(2):164-8.
A 68-year-old right-handed woman showed "apraxia of eyelid opening" during an acute phase of hemorrhagic infarction in the right middle cerebral artery distribution. She showed paradoxical contraction of the bilateral orbicularis oculi muscles both against our order to open her eyes and even against her hand-movement to help her eyes open, although she could voluntarily open her eyes. She was diagnosed as "apraxia of eyelid opening". Her eyes kept closed in most of time. Spontaneous blepharospasm and a right conjugate gaze preference were also seen. These symptoms disappeared 2 weeks after the hemorrhagic infarction. Because most of cases in previous reports as well as this patient showed "apraxia of eyelid opening" after a right cerebral involvement, we propose that this symptom may attribute to right cerebral dysfunction.
一名68岁右利手女性在右侧大脑中动脉供血区出血性梗死急性期出现“眼睑开合失用”。尽管她能够自主睁眼，但无论是违背我们让她睁眼的指令，还是违背她试图用手辅助睁眼的动作时，她双侧眼轮匝肌都会出现反常收缩。她被诊断为“眼睑开合失用”。她的眼睛大部分时间都紧闭着。还观察到自发性眼睑痉挛和右侧同向凝视偏好。这些症状在出血性梗死后2周消失。由于既往报道的大多数病例以及该患者在右侧大脑受累后均出现“眼睑开合失用”，我们认为该症状可能归因于右侧大脑功能障碍。
