Isolated complete unilateral ptosis with intact extraocular eye movements

Cheong, Chin Yee; Aung, Than; Pang, Wee Yang; Ng, Chong Jin; Yap, Philip

doi:10.1093/ageing/afz041

Cited by 2 publications

(1 citation statement)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…reported an 88-year-old woman with isolated complete unilateral ptosis and intact extraocular eye movements that were caused by an acute infarct of the red nucleus. 4 Kumawat et al. reported a 60-year-old woman who complained of sudden-onset vertigo followed by drooping of the left eyelid as the result of paramedian midbrain infarction.…”

Section: Discussionmentioning

confidence: 99%

Isolated ipsilateral ptosis associated with ventral midbrain infarction: a case report and literature review

Cai,

Shi,

et al. 2024

J Int Med Res

View full text Add to dashboard Cite

Documented cases of ipsilateral ptosis caused by midbrain infarction remain rare. Herein, we present a patient with isolated ipsilateral ptosis that was initially considered to be a consequence of myasthenia gravis but was subsequently attributed to ventral midbrain infarction. We also discuss the possible underlying mechanisms; ipsilateral ptosis in our patient was attributed to selective damage of the levator palpebral muscle branch of the oculomotor nerve. The patient was started on aspirin (200 mg once daily) and atorvastatin (40 mg once daily). Improvement in ptosis occurred from day 5 of admission, and the patient was subsequently discharged. Ptosis disappeared 1 month after onset. This report describes an extremely rare case of ventral midbrain infarction presenting with isolated ipsilateral ptosis. Careful examination, including magnetic resonance imaging, is essential in such patients, especially in those with multiple cerebrovascular risk factors.

show abstract

Section: Discussionmentioning

confidence: 99%

Isolated ipsilateral ptosis associated with ventral midbrain infarction: a case report and literature review

Cai,

Shi,

et al. 2024

J Int Med Res

View full text Add to dashboard Cite

show abstract

Unilateral ptosis induced by pure midbrain infarction: a case report

et al. 2020

View full text Add to dashboard Cite

We describe herein a case with left-side ptosis induced by pure midbrain infarction in a 49-year-old woman. She also presented with diplopia and right-side cerebellar ataxia. MRI demonstrated new ischemic stroke of the left ventral paramedian midbrain. In this case, ischemia of the left oculomotor fascicles caused the left-side ptosis and diplopia, and ischemia of the left decussation of the superior cerebellar peduncle caused the right-side cerebellar ataxia. These symptoms resulted from inner superior medial mesencephalic branch infraction. This case offers an educational example that can be explained by models proposed in the past and requires knowledge of neuroanatomy and cerebrovasculature.

show abstract

Isolated complete unilateral ptosis with intact extraocular eye movements

Cited by 2 publications

References 4 publications

Isolated ipsilateral ptosis associated with ventral midbrain infarction: a case report and literature review

Isolated ipsilateral ptosis associated with ventral midbrain infarction: a case report and literature review

Unilateral ptosis induced by pure midbrain infarction: a case report

Contact Info

Product

Resources

About