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59 Possible Causes for Blepharoptosis, Unilateral Facial Weakness

  • Transient Ischemic Attack

    […] movement 0—normal 1—minor facial weakness 2—partial facial weakness 3—complete unilateral palsy 5 Motor function (arm) 0—no drift a.[] weakness Yes No If items are yes or unknown, meets criteria for stroke Cincinnati Prehospital Stroke Scale Facial droop Normal—both sides of face move equally Abnormal—one[] Right droop Left droop Grip Normal Right weak Left weak No grip No grip Arm strength Normal Right drift Left drift Right falls Left falls Based on examination, patient has unilateral[]

  • Primary Progressive Multiple Sclerosis

    We present three patients with a clinical course and cerebrospinal fluid findings consistent with a diagnosis of primary progressive multiple sclerosis (PPMS). Extensive and repeated magnetic resonance imaging (MRI) examinations showed only diffuse abnormality in brain and spinal cord, but no focal lesions. We propose[…][]

  • Subdural Hematoma

    Subdural hematoma is defined as a collection of blood outside the brain below the dura mater. Presentations seen is dependent on the level of bleeding but general include siezures, apathy, weakness, lethargy, nausea, dizziness, behaviorual changes, confusion and severe headache. Chronic subdural hematoma may have[…][]

  • Multiple Sclerosis

    Multiple sclerosis (MS, disseminated sclerosis, encephalomyelitis disseminata) is an inflammatory demyelinating disease of the central nervous system. Multiple sclerosis is divided into the following categories: Relapsing-remitting MS, Secondary progressive MS, Primary progressive MS and Progressive-relapsing MS. Individuals[…][]

  • Myasthenia Gravis

    Blepharoptosis surgery: In some cases, medication or other therapies may not be effective for treating ptosis.[] Surgical correction of blepharoptosis in patients with myasthenia gravis. Ophthal Plast Reconstr Surg. 2001 Mar. 17(2):103-10. [Medline].[] Effect of local heat versus ice on blepharoptosis resulting from ocular myasthenia. Ophathalmology 2000 ; 107: 2209 – 14. Google Scholar 9. Engstrom, JW.[]

  • Botulism


  • Bell's Palsy

    Inverse Bell’s phenomenon observed following levator resection for blepharoptosis. Graefes Arch Clin Exp Ophthalmol. 2006 ;244: 868 - 870. Google Scholar Medline ISI 85.[] : eg, abrupt onset with complete, unilateral facial weakness at 24 to 72 hours, and, on the affected side, numbness or pain around the ear, a reduction in taste, and hypersensitivity[] Its most alarming symptom is unilateral facial weakness, which can result in the inability to close the eyelids, smile, or whistle.[]

  • Guillain-Barré Syndrome

    RESULTS: A 41-year-old man presented with aggressive speech difficulty, dysphagia, right blepharoptosis, and quadriplegia following coma.[] However, the patient developed unilateral left-sided facial weakness. She was managed with further intravenous immunoglobulin and intensive physiotherapy.[] Brachial Variant (PCB) It characteristically involves cervical, brachial and oropharyngeal muscles, hyporeflexia or areflexia in upper limbs and sometimes facial palsy, blepharoptosis[]

  • Lyme Neuroborreliosis

    A 15-year-old boy had onset of unilateral facial weakness. A few days later, he experienced mild vertigo, double vision, and headache.[] Physical examination At physical examination, 7 (23%) of 31 patients in the facial palsy group had unilateral residual deficits of facial nerve function ( table 3 ).[] In 6 patients, these deficits were mild; only 1 subject had moderate resting asymmetry of the face and substantial weakness of eyelid closure.[]

  • Syringomyelia

    Syringobulbia may cause vertigo, nystagmus, unilateral or bilateral loss of facial sensation, lingual atrophy and weakness, dysarthria, dysphagia, hoarseness, and sometimes[] XII: Tongue weakness & hemiatrophy IX - X: Dysphagia; Dysarthria XI: Weakness & wasting of sternomastoid & trapezius VII: Facial paresis Descending tract of V Reduced pain[] Syringobulbia (a syrinx in the brain stem), which is rare, may cause vertigo, nystagmus, unilateral or bilateral loss of facial sensation, lingual atrophy and weakness, dysarthria[]

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