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Blepharospasm accompanying hypoxic encephalopathy.

P R Palakurthy1, V Iyer

  • 1Department of Medicine, University of Louisville School of Medicine, Kentucky 40292.

Movement Disorders : Official Journal of the Movement Disorder Society
|January 1, 1987
PubMed
Summary
This summary is machine-generated.

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A 50-year-old woman experienced severe blepharospasm and left hemiplegia after cardiac arrest. This case highlights potential neurological complications following cardiac surgery, with blepharospasm showing gradual improvement.

Area of Science:

  • Neurology
  • Cardiology
  • Radiology

Background:

  • Blepharospasm is an involuntary eyelid twitching disorder.
  • Cardiac arrest can lead to various neurological complications.

Observation:

  • A 50-year-old female patient presented with severe bilateral blepharospasm and left hemiplegia.
  • These symptoms occurred post-cardiac arrest following ventricular aneurysmectomy.
  • The blepharospasm was persistent, even during sleep and eye opening attempts.

Findings:

  • Computed Tomography (CT) scan revealed bilateral basal ganglia hypodensities and right perisylvian lesions.
  • The patient's blepharospasm showed gradual improvement over six months.
  • The left hemiplegia, however, persisted without change.

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Implications:

  • This case suggests a potential link between cardiac arrest post-surgery and the development of blepharospasm.
  • Basal ganglia and perisylvian brain lesions may be implicated in the blepharospasm presentation.
  • Further research is needed to understand the pathophysiology and treatment of post-cardiac arrest blepharospasm.