Management of Severe Bilateral Ptosis in a Patient With Midbrain Infarction: A Case Report
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초록
Ptosis could be caused by oculomotor nerve palsy in the midbrain infarction. Bilateral ptosis has been reported in several reports, which focused on clinical characteristics of midbrain infarction. Little research attention has been paid to the treatment of patients with bilateral ptosis in midbrain infarction. We experienced a case of severe bilateral ptosis occurring after midbrain infarction. The patient could not open her eyes, perform basic activities or achieve effective rehabilitation. Neurogenic ptosis can improved after the underlying cause is treated. However, in this case, bilateral ptosis was not improved after conservative care for 6 months and the patient remained limited in activities of daily living and mobility. Surgical correction of bilateral ptosis was done by the resection of both Muller’s muscles. After surgical correction, the bilateral ptosis was much improved and the effect persisted for at least 6 months.
Abstract
Ptosis could be caused by oculomotor nerve palsy in the midbrain infarction. Bilateral ptosis has been reported in several reports, which focused on clinical characteristics of midbrain infarction. Little research attention has been paid to the treatment of patients with bilateral ptosis in midbrain infarction. We experienced a case of severe bilateral ptosis occurring after midbrain infarction. The patient could not open her eyes, perform basic activities or achieve effective rehabilitation. Neurogenic ptosis can improved after the underlying cause is treated. However, in this case, bilateral ptosis was not improved after conservative care for 6 months and the patient remained limited in activities of daily living and mobility. Surgical correction of bilateral ptosis was done by the resection of both Muller’s muscles. After surgical correction, the bilateral ptosis was much improved and the effect persisted for at least 6 months.
참고문헌 (8)
- Kim JS., "Pure midbrain infarction : clinical, radiologic, and pathophysiologic findings", Neurology, 64, pp.1227~1232 (2005)
- Bogousslavsky J., "Pure midbrain infarction : clinical syndromes, MRI, and etiologic patterns", Neurology, 44, pp.2032~2040 (1994)
- Ogawa K., "Clinical study of twenty-one patients with pure midbrain infarction", Eur Neurol, 67, pp.81~89 (2012)
- Thurtell MJ., "Complete ophthalmoplegia : an unusual sign of bilateral paramedian midbrain-thalamic infarction", Stroke, 39, pp.1355~1357 (2008)
- Donzelli R., "The oculomotor nuclear complex in humans : microanatomy and clinical significance", Surg Radiol Anat, 20, pp.7~12 (1998)
- Finsterer J., "Ptosis : causes, presentation, and management", Aesthetic Plast Surg, 27, pp.193~204 (2003)
- Betharia SM., "Observations on Bell’s phenomenon after levator surgery", Indian J Ophthalmol, 33, pp.109~111 (1985)
- van Sorge AJ., "Exposure keratopathy following silicone frontalis suspension in adult neuro-and myogenic ptosis", Acta Ophthalmol, 90, pp.188~192 (2012)