The Eye Opener: Finding and Targeting the Midbrain Lesion

Lesions of the central nucleus of the third cranial nerve in midbrain leads to bilateral ptosis. We present a case of a 14 year old boy, who was found to have B/L non-correctable ptosis and medial rectus palsy. There was a ring enhancing lesion in the midbrain in contrast MRI which resolved with tre...

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Published inNeuro-ophthalmology (Amsterdam : Aeolus Press. 1980) Vol. 42; no. 5; pp. 316 - 317
Main Authors Choudhary, Aditya, Singh, Rajveer, Goyal, Manoj, Modi, Manish
Format Journal Article
LanguageEnglish
Published England Taylor & Francis 03.09.2018
Subjects
bilateral ptosis
central oculomotor nucleus
Neurocysticercosis
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bilateral ptosis
central oculomotor nucleus
Neurocysticercosis
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Summary:Lesions of the central nucleus of the third cranial nerve in midbrain leads to bilateral ptosis. We present a case of a 14 year old boy, who was found to have B/L non-correctable ptosis and medial rectus palsy. There was a ring enhancing lesion in the midbrain in contrast MRI which resolved with treatment. The case exemplifies that bilateral ptosis results from the central nucleus involvement of third nerve which has bilateral innervation.
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Color versions of one or more of the figures in the article can be found online at www.tandfonline.com/ioph.
ISSN:0165-8107
1744-506X
DOI:10.1080/01658107.2017.1404113