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What causes eyelid apraxia while suffering from Parkinson's disease?

Answered by
Dr. Ishu Bishnoi

Neurologist, Surgical

Practicing since :2007

Answered : 830 Questions

Posted on Fri, 4 May 2018 in Brain and Spine
Question: Im a 75 year old male and have had Parkinsons for 7 years. My eyes have been examined by my opthomologist and are fine. My eyelids keep closing even though I am not tired. What is causing this?
Answered by Dr. Ishu Bishnoi 3 hours later
Brief Answer:
Possible differential diagnosis

Detailed Answer:
Hi XXXX, thanks for asking from HCM.

I can understand your concern. You are suffering from "eyelid Apraxia". It can be due to Parkinson disease itself. There are other causes also, which must be ruled out. These are

- Progressive supra nuclear palsy - It is a spontaneous neurological degenerative disorder. It can be ruled out by clinical examination and MRI brain.

- Motor neurone disease - It can be due to drugs, age related. 3rd nerve weakness can cause such manifestation. Nerve conduction velocity can confirm the diagnosis.

- Myopathy due to Ropinirole can cause such fatiguability. Myopathy can be confirmed by EMG and CPK level.

- Myasthenia gravis - It is uncommon at this age, but it is one of the most common cause of drooping eyelid. It can be confirmed by Each receptor antibody test, EMG studies.

- Drug induced dystonia

You must consult your doctor about these possibilities. I have mentioned the required investigations. You can ask your doctor about it. Please let me know the response.

If you have any doubt, do let me know.
Thanks. Take care.
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