Brainstem stroke presenting as isolated bilateral ptosis.
Thozhuthumparambil, Karunakaran Pradeep
Thozhuthumparambil, Karunakaran Pradeep
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Sandwell and West Birmingham NHS Trust
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Publication date
2021-07-12
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Abstract
Pure midbrain infarctions not involving surrounding structures are an uncommon clinical phenomenon. A midbrain infarction that results in isolated bilateral ptosis as the only neurological deficit is much rarer and an easy diagnosis to miss; therefore, potentially leading to further downstream complications. We describe the case of an elderly patient who presented with isolated bilateral ptosis, initially thought to be consequent to myasthenia gravis but subsequently identified to have a perforator infarct in the midbrain, resulting in his symptoms.
Citation
James S, Thozhuthumparambil KP. Brainstem stroke presenting as isolated bilateral ptosis. BMJ Case Rep. 2021 Jul 12;14(7):e243220
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