Bilateral ptosis and upgaze palsy with right hemispheric lesions

被引:23
|
作者
AverbuchHeller, L [1 ]
Stahl, JS [1 ]
Remler, BF [1 ]
Leigh, RJ [1 ]
机构
[1] CASE WESTERN RESERVE UNIV,VET ADM MED CTR,CLEVELAND,OH 44106
关键词
D O I
10.1002/ana.410400320
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Bilateral ptosis is reported with unilateral hemispheric lesions, suggesting partial lateralization of the control of the levator palpebrae superioris. There is a tight synkinesis between vertical eye and eyelid movements, but a similar, lateralized control of vertical gaze has not been previously described. We report 3 patients with right hemispheric infarctions, in whom bilateral ptosis was accompanied by impaired upward gaze. We postulate that this lateralization of ocular motor function reflects the special contribution that the nondominant hemisphere makes to attention.
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收藏
页码:465 / 468
页数:4
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