Management of severe bilateral ptosis in a patient with midbrain infarction: A case report

Soo Yeon Kim, Hye Kyung Park, Dae Heon Song, Myung Eun Chung, Young Moon Kim, Jae Hyun Woo

Research output: Contribution to journalArticle

Abstract

Ptosis could be caused by oculomotor nerve palsy in the midbrain infarction. Bilateral ptosis has been reported in several reports, which focused on clinical characteristics of midbrain infarction. Little research attention has been paid to the treatment of patients with bilateral ptosis in midbrain infarction. We experienced a case of severe bilateral ptosis occurring after midbrain infarction. The patient could not open her eyes, perform basic activities or achieve effective rehabilitation. Neurogenic ptosis can improved after the underlying cause is treated. However, in this case, bilateral ptosis was not improved after conservative care for 6 months and the patient remained limited in activities of daily living and mobility. Surgical correction of bilateral ptosis was done by the resection of both Muller's muscles. After surgical correction, the bilateral ptosis was much improved and the effect persisted for at least 6 months.

Original languageEnglish (US)
Pages (from-to)891-895
Number of pages5
JournalAnnals of Rehabilitation Medicine
Volume37
Issue number6
DOIs
StatePublished - Dec 1 2013
Externally publishedYes

Keywords

  • Blepharoptosis
  • Cerebral infarction
  • Oculomotor nerve diseases

ASJC Scopus subject areas

  • Rehabilitation

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