J Korean Neurol Assoc.  2005 Oct;23(5):682-685.

Apraxia of Lid Opening after Traumatic Brain Injury: A Delayed Complication

Affiliations
  • 1Department of Neurology, Yeungnam University College of Medicine, Daegu, Korea. mypark@med.yu.ac.kr

Abstract

Apraxia of lid opening (ALO) has been suggested to be a dysfunction of the supranuclear control of the levator palpebrae superioris caused mainly by basal ganglial lesion. The hypometabolism of the medial frontal lobe may be a pathophysiologic mechanism in ALO. We report two ALO patients who developed these symptoms as a delayed complication after traumatic brain injury (TBI). Their MRI showed encephalomalacia in the Rt. medial frontal cortex, which was not shown in initial brain CT scans. Delayed pathologic changes after TBI may contribute to the development of ALO in these cases.

Keyword

Apraxia of lid opening; Traumatic brain injury; Non dominant frontal lobe

MeSH Terms

Apraxias*
Brain
Brain Injuries*
Encephalomalacia
Frontal Lobe
Humans
Magnetic Resonance Imaging
Tomography, X-Ray Computed
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