[Bilateral palpebral ptosis with unilateral paralysis of upward gaze: a case report]. / Ptose palpebral bilateral com paralisia unilateral do olhar vertical para cima: registro de caso.
Arq Neuropsiquiatr
; 44(1): 82-8, 1986 Mar.
Article
em Pt
| MEDLINE
| ID: mdl-3741187
The authors report a case of bilateral ptosis with miosis, paralysis of upward gaze and of smooth pursuit movements to the right, as well as a slowly regressive state of lassitude. This syndrome followed a haemorrhagic brain stem infarction. After a review of the pathophysiology of ptosis and of vertical eye movements, together with analysis of data provided by computerized tomography studies--since the case was not fatal--explanations are offered for each clinical sign and it is proposed that the lesion, a paramedian, slightly deviated to the right haemorrhagic focus in the midbrain, with a diameter of 15 mm, might have involved several structures, namely the rostral interstitial nucleus of the medial longitudinal fasciculus, the mesencephalic reticular formation, as well as cortico-nuclear and sympathetic pathways.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Blefaroptose
/
Oftalmoplegia
/
Nervo Oculomotor
Tipo de estudo:
Etiology_studies
Limite:
Female
/
Humans
/
Middle aged
Idioma:
Pt
Revista:
Arq Neuropsiquiatr
Ano de publicação:
1986
Tipo de documento:
Article
País de publicação:
Alemanha