Management of Severe Bilateral Ptosis in a Patient With Midbrain Infarction: A Case Report.
10.5535/arm.2013.37.6.891
- Author:
Soo Yeon KIM
1
;
Hye Kyung PARK
;
Dae Heon SONG
;
Myung Eun CHUNG
;
Young Moon KIM
;
Jae Hyun WOO
Author Information
1. Department of Rehabilitation Medicine, St. Paul's Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea. coltrane@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Blepharoptosis;
Cerebral infarction;
Oculomotor nerve diseases
- MeSH:
Activities of Daily Living;
Blepharoptosis;
Cerebral Infarction;
Humans;
Infarction*;
Mesencephalon*;
Muscles;
Oculomotor Nerve Diseases;
Rehabilitation
- From:Annals of Rehabilitation Medicine
2013;37(6):891-895
- CountryRepublic of Korea
- Language:English
-
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.
