A case of apraxia of lid opening in Wilson's disease

J Korean Neurol Assoc > Volume 15(5); 1997 > Article

Journal of the Korean Neurological Association 1997;15(5): 1203-1207.

윌슨씨병에서 나타난 안검개방실행증 1예

박기종, 권오영, 최낙천, 김남곤, 김태유, 임병훈

경상대학교 의대 신경과. 신경과학연구소

A case of apraxia of lid opening in Wilson's disease

Ki Jong Park, M.D. , Oh Young Kwon , M.D. , Nack Cheon Choi, M.D. , Nam Gon Kim, M.D. , Tae Yon Kim, M.D. , Byeong Hoon Lim, M.D.

Dept of Neurology, Gyneongsang instityte for Neuroscience, Gyengsang National Univ College of Medicine

Abstract

Apraxia of lid opening is a nonparalytic motor abnormality characterized by difficulty in initiating the act of lid elevation. It has been reported in various extrapyramidal disorders(Parkinson's disease, Huntington's chorea, progressive supranuclear palsy), right middle cerebral infarction and Wilson's disease. We report a case of apraxia of opening in Wilson's disease, 34-year-old man was noted to have resting tremor and voluntary eye opening difficulty. Wilson's disease without Kayser-Fleisher ring was diagnosed by serum Cu, serum ceruloplasmin and liver biopsy. He was treated with D-penicillamine anticholinergics, amantadine, and levodopa