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KMID : 1201420210140020113
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Journal of Neurocritical Care
2021 Volume.14 No. 2 p.113 ~ p.116
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Supranuclear oculomotor palsy in cerebral venous sinus thrombosis: a case report
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Bismaya Kumar
Pattanayak Sabyasachi
Dixit Abhishek
Pathak Abhishek
Chaurasia Rameshwar Nath
Singh Varun Kumar
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Abstract
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Background: For certain ocular movement abnormalities, the exact neuroanatomical localization of the causative lesion is still not defined. Oculomotor apraxia, apraxia of eye opening and closing, and motor impersistence are rarely reported in acute stroke, particularly following venous stroke.
Case Report: A 34-year-old man presented with headache, vomiting, focal seizures with bilateral tonic-clonic movements, and altered sensorium. Magnetic resonance imaging revealed bilateral frontal and left parietal hemorrhagic infarcts, and contrast venography revealed superior sagittal sinus thrombosis. The patient received anticoagulant treatment with antiepileptics. On re-examination on day 3, the patient had a rare combination of apraxia of eyelid closure, motor impersistence, and oculomotor apraxia. By Day 10 of admission, all oculomotor abnormalities had subsided.
Conclusion: To the best of our knowledge, this is the first report of the combination of oculomotor apraxia and apraxia of eyelid closure with motor impersistence in a patient with cerebral venous sinus thrombosis.
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KEYWORD
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Sinus thrombosis, Apraxia, Frontal lobe
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