An unusual cause of blepharospasm

We describe a rare case of multiple dilated Virchow-Robin spaces in the brainstem in a patient presenting initially with blepharospasm with subsequent spread to involve the face and neck. On magnetic resonance imaging (MRI), these lesions demonstrated an isointense signal to cerebrospinal fluid on a...

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Main Authors: Muda, Ahmad Sobri, Kwah, Y. G., Al-Edrus, Sharifah Aishah, Wong, S. L., Norzaini, M. Z., Viswanathan, Shanthi
Format: Article
Language:English
Published: Centauro SRL 2010
Online Access:http://psasir.upm.edu.my/id/eprint/13062/
http://psasir.upm.edu.my/id/eprint/13062/1/An%20unusual%20cause%20of%20blepharospasm.pdf
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author Muda, Ahmad Sobri
Kwah, Y. G.
Al-Edrus, Sharifah Aishah
Wong, S. L.
Norzaini, M. Z.
Viswanathan, Shanthi
author_facet Muda, Ahmad Sobri
Kwah, Y. G.
Al-Edrus, Sharifah Aishah
Wong, S. L.
Norzaini, M. Z.
Viswanathan, Shanthi
author_sort Muda, Ahmad Sobri
building UPM Institutional Repository
collection Online Access
description We describe a rare case of multiple dilated Virchow-Robin spaces in the brainstem in a patient presenting initially with blepharospasm with subsequent spread to involve the face and neck. On magnetic resonance imaging (MRI), these lesions demonstrated an isointense signal to cerebrospinal fluid on all sequences with no mass effect or enhancement. Although rare, this condition should be considered part of the differential diagnosis when evaluating cystic abnormalities in the brainstem. This is the first reported case of blepharospasm with subsequent orofacial and neck dystonia caused by dilated Virchow-Robin spaces. The imaging findings and differential diagnoses are discussed.
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spelling upm-130622015-10-20T08:10:39Z http://psasir.upm.edu.my/id/eprint/13062/ An unusual cause of blepharospasm Muda, Ahmad Sobri Kwah, Y. G. Al-Edrus, Sharifah Aishah Wong, S. L. Norzaini, M. Z. Viswanathan, Shanthi We describe a rare case of multiple dilated Virchow-Robin spaces in the brainstem in a patient presenting initially with blepharospasm with subsequent spread to involve the face and neck. On magnetic resonance imaging (MRI), these lesions demonstrated an isointense signal to cerebrospinal fluid on all sequences with no mass effect or enhancement. Although rare, this condition should be considered part of the differential diagnosis when evaluating cystic abnormalities in the brainstem. This is the first reported case of blepharospasm with subsequent orofacial and neck dystonia caused by dilated Virchow-Robin spaces. The imaging findings and differential diagnoses are discussed. Centauro SRL 2010-08 Article PeerReviewed application/pdf en http://psasir.upm.edu.my/id/eprint/13062/1/An%20unusual%20cause%20of%20blepharospasm.pdf Muda, Ahmad Sobri and Kwah, Y. G. and Al-Edrus, Sharifah Aishah and Wong, S. L. and Norzaini, M. Z. and Viswanathan, Shanthi (2010) An unusual cause of blepharospasm. The Neuroradiology Journal, 23 (4). pp. 443-446. ISSN 1971-4009; ESSN: 2385-1996
spellingShingle Muda, Ahmad Sobri
Kwah, Y. G.
Al-Edrus, Sharifah Aishah
Wong, S. L.
Norzaini, M. Z.
Viswanathan, Shanthi
An unusual cause of blepharospasm
title An unusual cause of blepharospasm
title_full An unusual cause of blepharospasm
title_fullStr An unusual cause of blepharospasm
title_full_unstemmed An unusual cause of blepharospasm
title_short An unusual cause of blepharospasm
title_sort unusual cause of blepharospasm
url http://psasir.upm.edu.my/id/eprint/13062/
http://psasir.upm.edu.my/id/eprint/13062/1/An%20unusual%20cause%20of%20blepharospasm.pdf