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An unusual cause of blepharospasm


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


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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Additional Metadata

Item Type: Article
Divisions: Faculty of Medicine and Health Science
Publisher: Centauro SRL
Keywords: Blepharospasm; Virchow-Robin space; Face; Neck
Depositing User: Nurul Ainie Mokhtar
Date Deposited: 29 Jul 2015 08:01
Last Modified: 20 Oct 2015 08:10
URI: http://psasir.upm.edu.my/id/eprint/13062
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