Bilateral ptosis: Lesion in the oculomotor nuclei or supranuclear lesion?

Détails

ID Serval
serval:BIB_FD9DF6FF6A61
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Titre
Bilateral ptosis: Lesion in the oculomotor nuclei or supranuclear lesion?
Périodique
Neurorehabilitation
Auteur(s)
Dimitriou J., Montoute T., Levivier M., Borruat F.X., Diserens K.
ISSN
1878-6448 (Electronic)
ISSN-L
1053-8135
Statut éditorial
Publié
Date de publication
2015
Peer-reviewed
Oui
Volume
36
Numéro
3
Pages
323-327
Langue
anglais
Notes
Publication types: Case Reports ; Journal Article
Publication Status: ppublish
Résumé
BACKGROUND: Bilateral ptosis is a very interesting clinical challenge for doctors because of the multiple possible localizations of a lesion which can lead to this neurological sign.
OBJECTIVES: Through this case report, we aim to determine the difference between an apraxia of lid opening (ALO) with difficulty in initiating the act of lid elevation, in spite of adequate understanding, motor control and cranial nerve pathways, and a bilateral ptosis with a lesion in the oculomotor nucleus or blepharospasm.
METHODS: The case report of a 50-year-old patient presenting bilateral ptosis and multiple ischemic lesions in the brainstem and bilateral frontal lobe lesions after the emergency removal of a large frontal tumor.
RESULTS: Our patient had an ALO according to the neurological follow-up and showed the ability, after a few weeks, of initiating the act of opening her eyes with her hand. The ophthalmic evaluation confirmed that in her case the ALO was associated with a nuclear lesion of the oculomotor nerve secondary to a midbrain lesion.
CONCLUSION: Our case report confirms multiple differential diagnoses in bilateral ptosis and the importance of clinical examination in spite of good neurological imaging.
Mots-clé
Blepharoptosis/diagnosis, Blepharoptosis/etiology, Brain Neoplasms/complications, Brain Neoplasms/diagnosis, Diagnosis, Differential, Female, Follow-Up Studies, Frontal Lobe/pathology, Humans, Magnetic Resonance Imaging, Mesencephalon/pathology, Middle Aged, Oculomotor Nerve/pathology
Pubmed
Web of science
Création de la notice
05/10/2015 10:45
Dernière modification de la notice
20/08/2019 16:28
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