Abstract

Blepharoptosis, commonly referred to as ptosis is an abnormal drooping of the upper eyelid. This condition has multiple etiologies and is seen in all age groups. Ptosis may be due to a myogenic, neurogenic, aponeurotic, mechanical or traumatic cause. We experienced a case of severe bilateral ptosis occurring after midbrain infarction. At presentation the patient had difficulty opening his eyes as the only clinical manifestation, but he did not have any limb weakness or ataxia or any other features that are usually seen with midbrain infarction.

Highlights

  • Blepharoptosis, commonly referred to as ptosis is an abnormal drooping of the upper eyelid

  • Ptosis could be caused by oculomotor nerve palsy in the patients with midbrain infarction

  • Bilateral ptosis showed the clinical characteristics of midbrain infarction [1,3,4]

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Summary

Introduction

Blepharoptosis, commonly referred to as ptosis is an abnormal drooping of the upper eyelid. The midbrain is often affected in patients with embolic stroke occurring in the posterior circulation, usually with the concomitant involvement of other structures, such as the pons, thalamus, and the cerebellum. Ptosis could be caused by oculomotor nerve palsy in the patients with midbrain infarction. Bilateral ptosis showed the clinical characteristics of midbrain infarction [1,3,4].

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