CONGENITAL ECTROPION ASSOCIATED WITH BILATERAL PTOSIS CASE REPORT

Myasthenia gravis (MG) is a rare autoimmune disorder affecting neuromuscular junction by muscleweakness. Myasthenia gravis can be generalized or localized as ocular myasthenia gravis. Casepresentation: We report an 8-year-old boy who presented with 10 days history of drooping of botheyelids and 8 days history of diplopia. Examination revealed bilateral ptosis. A diagnosis of JuvenileOcular Myasthenia gravis was made when symptoms improved with intramuscular Edrophoniumadministration. He was commenced on oral Neostigmine at a dose of 2mg/Kg/ day,4 hourly individed doses and is on regular follow up and had a good response. Conclusion: Ocular Myastheniagravis (OMG) is a rare disease in itself. A high index of suspicion is required in a juvenile as it iseven rarer.

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Paramedian Midbrain Infarction Presenting as Bilateral Asymmetric Ptosis: A Case Report and Review of Literature

Journal of Stroke Medicine ◽

10.1177/2516608519848942 ◽

2019 ◽

Vol 2 (1) ◽

pp. 47-49

Author(s):

Dhananjay Gupta ◽

Pradeep R. ◽

Anish Mehta ◽

Mahendra Javali ◽

Purshottam T. Acharya ◽

...

Keyword(s):

Case Report ◽

Extraocular Muscle ◽

Extraocular Muscles ◽

Oculomotor Nerve ◽

Review Of Literature ◽

Bilateral Ptosis ◽

Anatomical Correlation ◽

Midbrain Infarction ◽

Oculomotor Function ◽

Midbrain Stroke

Brainstem strokes can have protean ophthalmological manifestations including pupillary and extraocular muscle pareses. Incomplete paresis of oculomotor function is more common than complete paresis owing to the selective involvement of subnuclei or fascicles for various extraocular muscles. Here, we report a case of right paramedian midbrain stroke presented with asymmetric bilateral ptosis. We discuss the anatomical correlation of this presentation with the structure of oculomotor nerve nuclei and its fascicles.

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Hydrocephalus due to aqueductal stenosis presenting with acute bilateral ptosis: case report

British Journal of Neurosurgery ◽

10.1080/02688697.2019.1699904 ◽

2019 ◽

Vol 34 (6) ◽

pp. 683-685

Author(s):

Mingxing Wu ◽

Xiushan Ge ◽

Yanbin Li ◽

Jiye Li ◽

Minglei Ma ◽

...

Keyword(s):

Case Report ◽

Aqueductal Stenosis ◽

Bilateral Ptosis

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Anxiety Disorder and Alternating Bilateral Ptosis as the First Symptoms of Diabetes: A Case Report

10.31487/j.crss.2020.01.07 ◽

2020 ◽

pp. 1-3

Author(s):

Song Wang ◽

Mei-lan Su ◽

Ming-hong Zhang ◽

Song Wang ◽

Zhong-Hui Zou ◽

...

Keyword(s):

Case Report ◽

Anxiety Disorder ◽

Nerve Palsy ◽

Blood Glucose Control ◽

Oculomotor Nerve ◽

Oculomotor Nerve Palsy ◽

Comprehensive Treatment ◽

Bilateral Ptosis ◽

Upper Eyelid

Introduction: Long-term diabetes may cause oculomotor nerve palsy and anxiety disorder. Diabetic oculomotor nerve palsy is usually accompanied by diplopia, ptosis and eye movement disorders. The oculomotor nerve is often separated into superior and inferior divisions; diabetic third cranial nerve palsy may affect either division in isolation. However, anxiety disorder and alternating bilateral ptosis as the first symptoms of diabetes are extremely rare. Case Presentation: This case report describes a 63-year-old female patient who was admitted to the hospital for anxiety disorder with bilateral alternating ptosis. The patient had no diplopia or other new focal neurological symptoms. A neurological examination revealed left upper eyelid ptosis; other findings were negative. Except for hyperglycemia (13.96 mmol/L) and glycated hemoglobin (7.9%), laboratory tests showed no other abnormalities. The patient eventually recovered in a short time after a comprehensive treatment, including effective blood glucose control, microcirculation improvement and anxiety management. Conclusion: The upper eyelid droop caused by long-term diabetes may result in anxiety disorder. A comprehensive treatment may be considered for the patients admitted to the hospital for diabetes and its vascular neuropathy.

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Work ability evaluation in neurosarcoidosis: A case report

Srpski arhiv za celokupno lekarstvo ◽

10.2298/sarh0606238m ◽

2006 ◽

Vol 134 (5-6) ◽

pp. 238-240

Author(s):

Aleksandar Milovanovic ◽

Jovica Milovanovic ◽

Nikola Torbica

Keyword(s):

Case Report ◽

Unknown Etiology ◽

Ophthalmological Examination ◽

Resonance Imaging ◽

Working Ability ◽

Bilateral Ptosis ◽

Focal Lesions ◽

Initial Manifestation ◽

The Central Nervous System ◽

The Right

Sarcoidosis is a multisystemic granulomatous disease of unknown etiology which affects most frequently the hilar lymph nodes and lungs. Symptomatic involvement of the central nervous system may develop in patients diagnosed with sarcoidosis or it may be the initial manifestation of the disease. This is a case report of 48-year old female patient admitted to our clinic for evaluation of working ability. The patient had a total of 24 years of service and occupational exposure and she has been employed as supplies procurement officer. On admission, she complained of the following discomforts: eye-lid pain, intellectual fatigue, psychic uneasiness, forgetfulness, dyspnea and productive cough. Neurological findings indicated the presence of the right eye ophthalmoplegia, psychoorganic syndrome and neurosarcoidosis. Ophthalmological examination evidenced bilateral ptosis and presence of anisocoria. Magnetic resonance imaging revealed discrete focal lesions of the pons (paracentral left) and parietal corona radiata of the left hemisphere. Based on performed examinations and diagnostics procedures, final evaluation of patient?s working ability concluded that the patient was not capable of psychic strains and jobs associated with material accountability.

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