Bilateral ptosis due to mesencephalic lesions with relative preservation of ocular motility

J Neuroophthalmol. 1996 Dec;16(4):258-63.

Abstract

Three cases of bilateral ptosis with relatively normal ocular motility are presented. In two of the patients, neuroimaging demonstrated lesions in the region of the third cranial nerve subnuclei. These unusual clinical presentations are due to isolated involvement of the central caudal nucleus supplying the bilateral levator muscles, with, virtually complete sparing of other third cranial nerve structures.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Blepharoptosis / diagnosis
  • Blepharoptosis / etiology*
  • Blepharoptosis / physiopathology
  • Brain Neoplasms / complications*
  • Brain Neoplasms / diagnosis
  • Brain Neoplasms / physiopathology
  • Cysts / complications*
  • Cysts / diagnosis
  • Cysts / physiopathology
  • Eye Movements / physiology*
  • Humans
  • Lymphoma, Large B-Cell, Diffuse / complications*
  • Lymphoma, Large B-Cell, Diffuse / diagnosis
  • Lymphoma, Large B-Cell, Diffuse / physiopathology
  • Magnetic Resonance Imaging
  • Male
  • Multiple Sclerosis / complications*
  • Multiple Sclerosis / diagnosis
  • Multiple Sclerosis / physiopathology
  • Oculomotor Nerve / physiology*
  • Periaqueductal Gray / pathology*
  • Periaqueductal Gray / physiopathology