APRAXIA OF LID OPENING.
APRAXIA OF LID OPENING.
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DOI：
10.1001/archopht.1965.00970030157003
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发表时间：
1965-02
影响因子：
--
通讯作者：
J. E. Goldstein;D. Cogan
中科院分区：
文献类型：
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作者：
J. E. Goldstein;D. Cogan
开盖失用症是一种非麻痹性运动异常，其特征是患者难以启动上盖动作。它与麻痹性上睑下垂的不同之处在于只在眼睑打开开始时短暂出现，它与普通形式的眼睑痉挛的不同之处在于没有异常的眼轮匝肌收缩。虽然闭盖失用症早已在文献中有记载（Lewandowsky, 1907），但开盖失用症却很少被提及。然而，席尔德（1927）描述了两名睁眼和闭眼都有困难的病人。其中一名患者患有亨廷顿舞蹈病，两名患者都通过向后推头来睁开眼睛。Riese（1930）描述了一个额颞区被子弹击中的病人的开盖失用症。我们没有发现其他异常的报告，但怀疑
Apraxia of lid opening is a nonparalytic motor abnormality characterized by the patient's difficulty in initiating the act of lid elevation. It differs from paralytic ptosis by being present only momentarily at the start of lid opening, and it differs from ordinary forms of blepharospasm by occurring without unusual contraction of the orbicularis oculi. Although apraxia of lid closure has long been documented in the literature (Lewandowsky, 1907),1apraxia of lid opening has scarcely been mentioned. Schilder (1927)2described it, however, in two patients who had difficulty with both opening and closing their eyes. One of these patients had Huntington's chorea and both patients developed a trick of opening their eyes by a thrust of their heads backward. Riese (1930)3described apraxia of lid opening in a patient with a bullet injury to his frontotemporal region. We have not found other reports of this abnormality but suspect