Crises oculógiras e síndrome parkinsoniana

Lima, José Geraldo Camargo; Pimentel, Pedro Camilo A.; Silva, Ademir Baptista da; Nobrega, João Antonio M.

doi:10.1590/S0004-282X1972000400007

Resumos

Foram estudados 20 pacientes com síndrome parkinsoniana e crises oculógiras. Essa cifra, no cômputo geral de pacientes parkinsonianos estudados (111), mostra uma freqüência de 18%. Dos 20 pacientes citados, 14 eram do sexo masculino e 6 do feminino. As idades de início da síndrome parkinsoniana variaram entre 10 e 40 anos. Em apenas um paciente as crises oculógiras foram o sinal clínico inicial. Em 83% dos casos a direção foi vertical para cima. O déficit de convergência e a diplopia foram os sinais oculares associados mais freqüentes. Não houve diferença de incidência das crises oculógiras nas formas parkinsonianas uni ou bilaterais. A etiologia mais encontrada foi a encefalítica.

From 111 patients with parkinsonism there were found twenty presenting oculogiric crisis corresponding to a 18% frequency. From these twenty patients 14 were male and 6 female, the starting age of the Parkinson's syndrome varying from 10 to 40 years. Only one patient presented the oculogiric crises as the initial sign. In 83% of the cases the vertical upward direction was observed, the convergence impairment and the diplopia being the other more frequent associated ocular signs. Statistically there was no difference of incidence of the oculogiric crisis in the unilateral or bilateral parkinsonism. Encephalitis was the most frequent etiology.

Crises oculógiras e síndrome parkinsoniana

Oculogiric crisis and Parkinson's syndrome

José Geraldo Camargo Lima^I; Pedro Camilo A. Pimentel^II; Ademir Baptista da Silva^III; João Antonio M. Nobrega^III

^IDepartamento de Neurologia e Neurocirurgia da Escola Paulista de Medicina: Professor Adjunto

^IIDepartamento de Neurologia e Neurocirurgia da Escola Paulista de Medicina: Assistente

^IIIDepartamento de Neurologia e Neurocirurgia da Escola Paulista de Medicina: Médicos Estagiários

RESUMO

Foram estudados 20 pacientes com síndrome parkinsoniana e crises oculógiras. Essa cifra, no cômputo geral de pacientes parkinsonianos estudados (111), mostra uma freqüência de 18%. Dos 20 pacientes citados, 14 eram do sexo masculino e 6 do feminino. As idades de início da síndrome parkinsoniana variaram entre 10 e 40 anos. Em apenas um paciente as crises oculógiras foram o sinal clínico inicial. Em 83% dos casos a direção foi vertical para cima. O déficit de convergência e a diplopia foram os sinais oculares associados mais freqüentes. Não houve diferença de incidência das crises oculógiras nas formas parkinsonianas uni ou bilaterais. A etiologia mais encontrada foi a encefalítica.

SUMMARY

From 111 patients with parkinsonism there were found twenty presenting oculogiric crisis corresponding to a 18% frequency. From these twenty patients 14 were male and 6 female, the starting age of the Parkinson's syndrome varying from 10 to 40 years. Only one patient presented the oculogiric crises as the initial sign. In 83% of the cases the vertical upward direction was observed, the convergence impairment and the diplopia being the other more frequent associated ocular signs. Statistically there was no difference of incidence of the oculogiric crisis in the unilateral or bilateral parkinsonism. Encephalitis was the most frequent etiology.

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Departamento de Neurologia e Neurocirurgia Escola Paulista de Medicina Caixa Postal 5496 01000 São Paulo, SP Brasil.

Trabalho do Departamento de Neurologia e Neurocirurgia da Escola Paulista de Medicina, apresentado no V Congresso Brasileiro de Neurologia e III Congresso Brasileiro de Eletrencefalografia e Neurofisiologia Clínica (São Paulo, 12-15 julho de 1972)

1. ADROGUÉ, E. Neurologia Ocular. Ed. El Ateneo, Buenos Aires, 1942.
2. BARRAQUER BORDAS, L. Patologia General del Tono Muscular. Ed. Cientifico-Medica, Barcelona, 1957.
3. CALNE, D. B. Parkinsonism: Physiology, Pharmacology and Treatment. Edward Arnold Ltd., London, 1970.
4. CROW, J. Note on certain phenomena of post-encephalitic parkinsonism. Glasg. Med. J. 30:29, 1949.
5. DAVIS, T. S. Distonic reaction to perphazine. Brit. Med. J. 1:368, 1959.
6. DUVERGER, C. & BARRÉ, J. A. Troubles des nouvements associés des yeux chez les tabetiques et les parkinsoniens. Rev. neurol. (Paris) 37:439, 1921.
7. FORD, F. Diseases of the Nervous System in Infancy. Chilhhood and Adolescence. 5.Ş Ediçăo. Charles C. Thomas, Springfield (Illinois), 1966.
8. HALL, A. J. Chronic epidemic encephalitis with special reference to ocular attacks. Brit. Med. J. 2:833, 1931.
9. JELLIFFE, S. E. Psychologic components in post-encephalitic oculogiric crises. Arch. Neurol. Psychiat. (Chicago) 21:491, 1929.
10. KESTENBAUM, A. Clinical Methods of Neuro-Ophthalmologic Examination. Grune Stratton, New York, 1946.
11. LHERMITE, J.; DE MASSARI, J. & KYRIACO, N. Syndrome de Parinaud, crises oculogyres, rire spasmodique, narcolepsie en apparence essentielle dans l'encephalite prolongée. Rev. neurol. (Paris) T. 2:154, 1928.
12. MARZUOLI, V. C; GROSSANO, M. C. & RUBINO, R. Sindrome extrapiramidale con crise oculogiri subentranti da terapia proclorpromazinica. Minerva Med. 3-4:87, 1925-1926.
13. McCOWAN, P. K. & COOK, L. C. Oculogyric crisis in chronic epidemic encephalitis. Brain 51:285, 1928.
14. MONTGOMERY, R. D. & SUTHERLAND, V. L. Acute dystonic reaction to pherphanazine. Brit. Med. J. 1:368, 1959.
15. MUSKENS, L J. J. The pathology of post-encephalitic ocular disturbances in the light of recent anatomical and physiological research. J. Neurop. a. exper. Neurol. 8:137, 1927.
16. ONUAGULUCHI, G. Parkinsonism. Butterworths, London, 1964.
17. SACHSENWEGER, R. InVINKEN, P. J. & BRUYN, G. W. Handbook of Clinical Neurology, Vol. 2. North-Holland Publishing Co., Amsterdam, 1969.
18. SHANZER, S. & BENDER, M. B. Oculomotor responses on vestibular stimulation on monkeys with lesions of the brain stem. Brain 82:669, 1959.
19. WILLIAMS, D. Mondern Trends in Neurology. Butterworths, London, 1967.

Datas de Publicação

Publicação nesta coleção
18 Abr 2013
Data do Fascículo
Dez 1972

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

[1] 1. ADROGUÉ, E. Neurologia Ocular. Ed. El Ateneo, Buenos Aires, 1942.

[2] 2. BARRAQUER BORDAS, L. Patologia General del Tono Muscular. Ed. Cientifico-Medica, Barcelona, 1957.

[3] 3. CALNE, D. B. Parkinsonism: Physiology, Pharmacology and Treatment. Edward Arnold Ltd., London, 1970.

[4] 4. CROW, J. Note on certain phenomena of post-encephalitic parkinsonism. Glasg. Med. J. 30:29, 1949.

[5] 5. DAVIS, T. S. Distonic reaction to perphazine. Brit. Med. J. 1:368, 1959.

[6] 6. DUVERGER, C. & BARRÉ, J. A. Troubles des nouvements associés des yeux chez les tabetiques et les parkinsoniens. Rev. neurol. (Paris) 37:439, 1921.

[7] 7. FORD, F. Diseases of the Nervous System in Infancy. Chilhhood and Adolescence. 5.Ş Ediçăo. Charles C. Thomas, Springfield (Illinois), 1966.

[8] 8. HALL, A. J. Chronic epidemic encephalitis with special reference to ocular attacks. Brit. Med. J. 2:833, 1931.

[9] 9. JELLIFFE, S. E. Psychologic components in post-encephalitic oculogiric crises. Arch. Neurol. Psychiat. (Chicago) 21:491, 1929.

[10] 10. KESTENBAUM, A. Clinical Methods of Neuro-Ophthalmologic Examination. Grune Stratton, New York, 1946.

[11] 11. LHERMITE, J.; DE MASSARI, J. & KYRIACO, N. Syndrome de Parinaud, crises oculogyres, rire spasmodique, narcolepsie en apparence essentielle dans l'encephalite prolongée. Rev. neurol. (Paris) T. 2:154, 1928.

[12] 12. MARZUOLI, V. C; GROSSANO, M. C. & RUBINO, R. Sindrome extrapiramidale con crise oculogiri subentranti da terapia proclorpromazinica. Minerva Med. 3-4:87, 1925-1926.

[13] 13. McCOWAN, P. K. & COOK, L. C. Oculogyric crisis in chronic epidemic encephalitis. Brain 51:285, 1928.

[14] 14. MONTGOMERY, R. D. & SUTHERLAND, V. L. Acute dystonic reaction to pherphanazine. Brit. Med. J. 1:368, 1959.

[15] 15. MUSKENS, L J. J. The pathology of post-encephalitic ocular disturbances in the light of recent anatomical and physiological research. J. Neurop. a. exper. Neurol. 8:137, 1927.

[16] 16. ONUAGULUCHI, G. Parkinsonism. Butterworths, London, 1964.

[17] 17. SACHSENWEGER, R. InVINKEN, P. J. & BRUYN, G. W. Handbook of Clinical Neurology, Vol. 2. North-Holland Publishing Co., Amsterdam, 1969.

[18] 18. SHANZER, S. & BENDER, M. B. Oculomotor responses on vestibular stimulation on monkeys with lesions of the brain stem. Brain 82:669, 1959.

[19] 19. WILLIAMS, D. Mondern Trends in Neurology. Butterworths, London, 1967.