Post-traumatic Winking Induced by Extension of the Hand: A Case Report of a Novel Synkinesis

  • Riet Vangheluwe Department of Neurology, Maastricht University Medical Center, Maastricht
  • Linda Postma Department of Radiology, Maastricht University Medical Center, Maastricht
  • Marcel Ten Tusscher Department of Ophthalmology, University Hospital of Antwerp, Antwerp
  • Laura WJ Baijens Department of Otorhinolaryngology, Head and Neck Surgery, Maastricht University Medical Center, Maastricht
  • Robert van Oostenbrugge Department of Neurology, Maastricht University Medical Center, The Netherlands, Maastricht

Abstract

Several synkinesis syndromes have been reported in the literature. Synkinesis syndromes are rare and are most commonly congenital or follow post-traumatic reinnervation. We describe a novel synkinesis syndrome that developed several months after cervical spinal cord infarction due to a herniated disc in a 29-year-old woman. When the patient overstretched the extensor muscles of the right hand, the right upper eyelid raised automatically and nasal congestion developed. We hypothesize that aberrant reinnervation of the intermediolateral columns of the spinal cord at level C8–T2 by motor neurons of the extensor muscles of the hand occurred.

VIEW THE ENTIRE ARTICLE

References

  • Pavone P, Garozzo R, Trifiletti RR. Marin-Amat syndrome: case report and review of the literature. J Child Neurol 1999;14:266–268.
  • Cagan E, Sayin R, Doğan M, Peker E, Cağan HH, Caksen H. Bilateral brachial plexus palsy and right Horner syndrome due to congenital cervicothoracal syringomyelia. Brain Dev 2010;32:595–597.
  • Kodsi M. Marcus Gunn jaw winking with trigemino-abducens synkinesis. J AAPOS 2000;4:316–317.
  • Lai T, Chen C, Selva D. Bilateral congenital trigemino-abducens synkinesis. Arch Ophthalmol 2003;121:1796–1797.
  • Lam L, Engstrom J. Teaching video NeuroImages: the breathing arm: respiratory brachial synkinesis. Neurology 2010;74:e69.
  • Published: 2014-09-11

    Issue: Vol. 1 (2014) (view)

    Section: Articles

    How to cite:
    1.
    Vangheluwe R, Postma L, Ten Tusscher M, Baijens LW, van Oostenbrugge R. Post-traumatic Winking Induced by Extension of the Hand: A Case Report of a Novel Synkinesis. EJCRIM 2014;1 doi:10.12890/2014_000112.