BLEPHAROSPASM is an involuntary spasmodic but tonic contraction of the orbicularis oculi that may last a few seconds to a few minutes spaced by periods of relaxation. It tends to become progressive and bilateral and is often associated with spasms of other muscles innervated by the facial nerve. It is difficult to treat and is not subject to spontaneous resolution. The usual medical remedies (d...

Hypersomnolent state, severe amnesia, transient coma and vertical gaze abnormalities are characteristic features of bilateral paramedian thalamic infarcts. Vergence disorders or blepharospasm has recently been reported but there is no study reporting blepharospasm together with exotropia. In this paper, we present a case with bilateral paramedian thalamic infarct who had blepharospasm and acute...