Botulinum toxin for treating unilateral apraxia of eyelid opening in a patient with congenital myotonia.

Arquivos brasileiros de oftalmologia 2017 Vol.80(5) p. 330-331

Fernández E, Latasiewicz M, Pelegrin L, Romera M, Schellini S, Galindo-Ferreiro A

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Abstract

A 37-year-old female presented with severe apraxia of lid opening (ALO) affecting the right upper lid associated with Becker congenital myotonia (MC). The patient had a history of right upper lid ptosis for 25 years that was exacerbated over the previous month with severe incapacity to open her right eye. No other associated neurological or ophthalmic symptoms were observed. The patient was treated with botulinum toxin (BoNT-A) injection into the pretarsal and lateral canthus region of the orbicularis oculi of the affected eyelid. Treatment with BoNT-A is an effective method of managing ALO in Becker MC. This is the first case of unilateral ALO in the course of Becker MC that was successfully treated with injections of botulinum toxin.

추출된 의학 개체 (NER)

유형영어 표현한국어 / 풀이UMLS CUI출처등장
시술 botulinum toxin 보툴리눔독소 주사 dict 3
해부 eyelid 눈꺼풀 dict 2

MeSH Terms

Adult; Apraxias; Botulinum Toxins, Type A; Eyelid Diseases; Facial Muscles; Female; Humans; Myotonia Congenita; Neurotoxins; Oculomotor Muscles; Reproducibility of Results; Time Factors; Treatment Outcome

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