Abstract
A 75-year-old man presented to our Emergency Department due to pain behind the left eye, double vision, and left ptosis. His medical history, except for arterial hypertension that was well controlled with lisinopril, was unremarkable. Neurological examination revealed left complete ptosis; left pupil was midriatic with no reaction to light stimuli or accommodation, and consensual reaction was absent. The left eye was positioned to the left side and down (Figure 1). This finding was consistent with complete third nerve palsy.
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