Possible Causes for unilateral ptosis Cerebral Thrombosis Abstract Cerebral venous thrombosis (CVT) is a severe multifactorial condition with various clinical manifestations that may include headache, papilledema, seizures, focal deficits, coma and death. The mortality rate of untreated CVT is up to 50%, but it drops to 10% when CVT is properly treated. Prevention of CVT is[…] [ncbi.nlm.nih.gov] 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[…] [ncbi.nlm.nih.gov] Cerebral Hemorrhage Evidence supports early intensive blood pressure (BP) lowering in acute intracerebral hemorrhage, but uncertainty persists over whether potential benefits and harms vary according to the magnitude of BP reduction. We aimed to determine whether larger systolic BP (SBP) reductions were associated with better[…] [ncbi.nlm.nih.gov] Bronchogenic Carcinoma Metastasis of bronchogenic carcinoma to the chest wall and axillary lymphnodes is a rare occurrence. This study reports the case of a patient presenting with chest wall swelling as initial symptom which on evaluation was found to be a lymphnode metastasis. The patient also had axillary lymphnode metastasis on the[…] [ncbi.nlm.nih.gov] Graves Disease Thyrotropin-producing pituitary tumor is relatively rare. In particular, concurrent cases associated with Graves' disease are extremely rare and only nine cases have been reported so far. We describe a case of a thyrotropin-producing pituitary adenoma concomitant with Graves' disease, which was successfully[…] [ncbi.nlm.nih.gov] Subdural Hematoma BACKGROUND: Delayed acute subdural hematoma (DASH) is a subdural hematoma which is detected later. An initial computed tomography (CT) does not reveal any intracranial hemorrhage at all. Few patients of DASH after mild traumatic brain injury associated with percutaneous coronary intervention (PCI) have been[…] [ncbi.nlm.nih.gov] Subarachnoid Hemorrhage Aneurysmal subarachnoid hemorrhage (SAH) is a neurological emergency with high risk of neurological decline and death. Although the presentation of a thunderclap headache or the worst headache of a patient's life easily triggers the evaluation for SAH, subtle presentations are still missed. The gold standard for[…] [ncbi.nlm.nih.gov] Oculomotor Nerve Paralysis […] of a unilateral ptosis? [oxfordmedicaleducation.com] Other patterns of weakness cannot occur with nuclear lesions, such as III nerve palsy with unilateral ptosis or unilateral mydriasis. [neuroophthalmology.ca] With unilateral third cranial nerve palsy, the involved eye usually is deviated down and out (infraducted, abducted), and there is ptosis, which may be severe enough to cover [ispub.com] Guillain-Barré Syndrome The examination found no signs of pupillary defects, eyelid ptosis, or nystagmus. Bilateral hyporeflexia was detected throughout the patient's body. [jaoa.org] Examination findings by neurology clinic staff included slight exophoria of the right eye upon leftward gaze during cover-uncover (ie, unilateral) testing, as well as subtle [jaoa.org] Congenital Ptosis […] were found in patients with mild or moderate unilateral ptosis. [ncbi.nlm.nih.gov] In 3.9% of the cases (5/128; 2 eyes with unilateral and 3 eyes with bilateral ptosis) we assumed SDA. [ncbi.nlm.nih.gov] (1) compared with the normal population, an overall higher frequency of myopia in human congenital ptosis; (2) in unilateral ptosis, a higher frequency of myopia in the ptotic [ncbi.nlm.nih.gov] Ethmoid Sinusitis Abstract We present here the first case in the People's Republic of China of human disease caused by the fungus Arthrographis kalrae. The male patient had fungal panophthalmitis and invasive sinusitis involving the maxillary and ethmoid sinuses. He was an apparently healthy man before receiving trauma to his left[…] [ncbi.nlm.nih.gov] Orbital Cellulitis Ptosis. Orbital cellulitis [ 2 ] Anterior features: Acute onset of unilateral swelling of conjunctiva and lids. Oedema, erythema, pain, chemosis. [patient.info] Syringomyelia OBJECT: Hindbrain herniation syndrome, or Chiari malformation Type I (CM-I), occurs frequently with craniovertebral junction (CVJ) abnormalities when there is reduction in the posterior fossa volume. Syringomyelia is often present. Posterior fossa dorsal decompression (PFDD) is typically performed but has adverse[…] [ncbi.nlm.nih.gov] Astrocytoma of the Brain Astrocytoma brain is a tumor. Called glial astrocytoma brain tumor (glioma). Glioma develops from the astrocytes. They are one of the types of brain cells, regulating the amount of interstitial fluid and ensure the existence of neurons in the brain. These support cells have the ability to reproduce, but if this[…] [back.vsebolezni.com] Brain Neoplasm PURPOSE: To determine the accuracy of relative cerebral blood volume (rCBV) fraction for distinguishing high-grade recurrent neoplasm from treatment-related necrosis (TRN) in enhancing masses identified on surveillance magnetic resonance (MR) images following treatment for primary or secondary brain neoplasm.[…] [ncbi.nlm.nih.gov] Horner's Syndrome A 17-year-old girl was admitted with a 1-year history of right-sided headaches and unilateral ptosis for 6 months. She was diagnosed with Horner's syndrome. [ncbi.nlm.nih.gov] Infants present with unilateral ptosis but also with associated miosis. [webeye.ophth.uiowa.edu] Ptosis secondary to a Horner's syndrome can usually be distinguished from isolated congenital ptosis because of the associated ocular and adnexal findings. [webeye.ophth.uiowa.edu] Orbital Neoplasm Orbit. 2016;35(2):113-6. doi: 10.3109/01676830.2016.1139137. Epub 2016 Feb 29. Author information 1 a Orbit, Oculoplasty, Reconstructive & Aesthetic Services, Sankara Nethralaya, Medical Research Foundation, Chennai, India. 2 b Department of Ocular Pathology, Sankara Nethralaya, Medical Research Foundation, Chennai, India.[…] [ncbi.nlm.nih.gov] Multiple Sclerosis Multiple sclerosis (MS) is an inflammatory demyelinating disease of central nervous system and it is associated with an impaired motor function status. The efficacy of rehabilitation in promoting functional recovery and increasing quality of life in MS patients has been demonstrated. A 47-year-old woman was diagnosed[…] [ncbi.nlm.nih.gov] Berry Aneurysm Eyelids dropping, especially unilaterally (ptosis). Movement disorders (ataxia), especially unilaterally. [medigoo.com] Acute Hepatic Porphyria Alnylam presented results from their phase 3 ENVISION trial, which assessed givosiran for acute hepatic porphyria (AHP), at the European Association for the Study of the Liver (EASL) International Liver Congress in Vienna, Austria. ENVISION was a randomized, double-blind, placebo-controlled, global, multicenter study[…] [trialsitenews.com] Syringobulbia This is drooping of eye lid which could be unilateral or rarely bilateral. [explainmedicine.com] […] for pain and temperature on face. [1][6] Dysphagia Due to the palatal and pharyngeal wall paralysis patients may have neurological type of dysphagia and reflux. [1] Ptosis [explainmedicine.com] Children may rarely present with stridor even. [1] Paraesthasia of the face Due to the involvement of trigeminal nerve there could be bilateral or unilateral sensory impairment [explainmedicine.com] Brain Stem Disorder Patients often have a Horner's syndrome (unilateral ptosis, miosis and facial anhidrosis). [tchain.com] However, a lateral fascicular III lesion affecting the superior recti, inferior oblique and levator may cause a monocular elevator palsy with unilateral ptosis (51). [neuroophthalmology.ca] It is typified by vertigo, ipsilateral hemiataxia, dysarthria, ptosis and miosis. [tchain.com] Acute Intermittent Porphyria Acute intermittent porphyria (AIP) is the most common hepatic porphyria. Its clinical presentation includes severe disabling and life-threatening neurovisceral symptoms and acute psychiatric symptoms. These symptoms result from the overproduction and accumulation of porphyrin precursors, 5-aminoleuvulinic acid (ALA)[…] [ncbi.nlm.nih.gov] Prolapse Beard’s Ptosis. 4th ed. Birmingham, AL : Aesculapius ; 1990. 12.. Unilateral frontalis sling for the surgical correction of unilateral poor-function ptosis. [academic.oup.com] PAGE BREAK Unilateral ptosis The clinical picture of unilateral ptosis in conjunction with same-sided ocular motility dysfunction immediately raises concern for an oculomotor [healio.com] Surgical treatment of unilateral severe simple congenital ptosis. [e-tjo.org] Blepharoptosis There were 51 (77.3%) patients with unilateral ptosis and 15 (22.7%) patients with bilateral ptosis. [ncbi.nlm.nih.gov] ptosis. [ncbi.nlm.nih.gov] The first patient presented a unilateral ptosis. The ptosis in the second patient was bilateral and manifest. The eyelids could only be opened manually. [ncbi.nlm.nih.gov] Myasthenia Gravis A46-year male presented with unilateral ptosis and diplopia. [ncbi.nlm.nih.gov] Ptosis may be unilateral or bilateral or may alternate sides. [emedicine.com] Alternating ptosis, i.e., unilateral ptosis that remits and is followed a variable interval by ptosis of the other eye, is highly suggestive, as is diurnal fatigue of an extraocular [myasthenia.puhs.org] Orbital Disease A 40 year-old male presented after one year of unilateral, progressive, steroid-responsive, orbital inflammatory disease causing proptosis, extraocular muscle (EOM) restriction, and compressive optic neuropathy. The development of anti-thyroidal antibodies prompted the diagnosis of thyroid eye disease (TED);[…] [ncbi.nlm.nih.gov] Cavernous Sinus Thrombosis Ptosis, chemosis, cranial nerve palsies (III, IV, V, VI). [en.wikipedia.org] These include periorbital edema (initially unilateral but typically bilateral), lid erythema, chemosis, ptosis, proptosis (due to impaired venous drainage of orbit), restricted [ncbi.nlm.nih.gov] Classic presentations are abrupt onset of unilateral periorbital edema, headache, photophobia, and bulging of the eye (proptosis).Other common signs and symptoms include: [en.wikipedia.org] Craniopharyngioma Craniopharyngiomas can be a surgical challenge for the pediatric neurosurgeon. Ideally, total removal must be achieved. However, the need to reduce surgical morbidity and preserve quality of life has led to a number of neurosurgical approaches in order to attain this goal. The aim of this article is to present an[…] [ncbi.nlm.nih.gov] Malignant Glioma Int J Mol Sci. 2017 Feb 10;18(2). pii: E350. doi: 10.3390/ijms18020350. Author information 1 Institute of Life Sciences, Chongqing Medical University, 1 Yixueyuan Road, Yuzhong District, Chongqing 400016, China. yingying_shao1226@outlook.com. 2 Department of Clinical Pharmacology, Xiangya Hospital, Central South University,[…] [ncbi.nlm.nih.gov]
