An unusual cause of blepharospasm

A. Sobri Muda, Y. G. Kwah, S. A. Al-Edrus, S. L. Wong, M. Z. Norzaini, S. Viswanathan

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish
Pages (from-to)443-446
Number of pages4
JournalNeuroradiology Journal
Volume23
Issue number4
Publication statusPublished - Aug 2010

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Blepharospasm
Songbirds
Brain Stem
Differential Diagnosis
Neck
Dystonia
Cerebrospinal Fluid
Magnetic Resonance Imaging

Keywords

  • Blepharospasm
  • Magnetic resonance imaging
  • Virchow-Robin space

ASJC Scopus subject areas

  • Clinical Neurology
  • Radiology Nuclear Medicine and imaging

Cite this

Sobri Muda, A., Kwah, Y. G., Al-Edrus, S. A., Wong, S. L., Norzaini, M. Z., & Viswanathan, S. (2010). An unusual cause of blepharospasm. Neuroradiology Journal, 23(4), 443-446.

An unusual cause of blepharospasm. / Sobri Muda, A.; Kwah, Y. G.; Al-Edrus, S. A.; Wong, S. L.; Norzaini, M. Z.; Viswanathan, S.

In: Neuroradiology Journal, Vol. 23, No. 4, 08.2010, p. 443-446.

Research output: Contribution to journalArticle

Sobri Muda, A, Kwah, YG, Al-Edrus, SA, Wong, SL, Norzaini, MZ & Viswanathan, S 2010, 'An unusual cause of blepharospasm', Neuroradiology Journal, vol. 23, no. 4, pp. 443-446.
Sobri Muda A, Kwah YG, Al-Edrus SA, Wong SL, Norzaini MZ, Viswanathan S. An unusual cause of blepharospasm. Neuroradiology Journal. 2010 Aug;23(4):443-446.
Sobri Muda, A. ; Kwah, Y. G. ; Al-Edrus, S. A. ; Wong, S. L. ; Norzaini, M. Z. ; Viswanathan, S. / An unusual cause of blepharospasm. In: Neuroradiology Journal. 2010 ; Vol. 23, No. 4. pp. 443-446.
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