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Plus-minus lid syndrome with ataxia and severe apathy—A rare manifestation of midbrain infarct

Plus-minus lid syndrome is a rare manifestation of midbrain infarct, characterized by ptosis of one eye and lid retraction in the other eye. It has also been described in ocular myasthenia gravis, orbital myositis, or after lesions of the oculomotor nerve. Our patient was a 55-year-old man with hype...

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Autores principales: Sheetal, S, Thomas, R, Kumar, AS, Tomy, LG
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7542061/
https://www.ncbi.nlm.nih.gov/pubmed/32675453
http://dx.doi.org/10.4103/jpgm.JPGM_709_19
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author Sheetal, S
Thomas, R
Kumar, AS
Tomy, LG
author_facet Sheetal, S
Thomas, R
Kumar, AS
Tomy, LG
author_sort Sheetal, S
collection PubMed
description Plus-minus lid syndrome is a rare manifestation of midbrain infarct, characterized by ptosis of one eye and lid retraction in the other eye. It has also been described in ocular myasthenia gravis, orbital myositis, or after lesions of the oculomotor nerve. Our patient was a 55-year-old man with hypertension and atrial fibrillation, who presented to us with acute onset left-sided ptosis and right-sided eyelid retraction. He was apathic and had right-sided ataxia. His MRI of the brain showed acute infarct involving the paramedian midbrain. To our knowledge, severe apathy and resultant executive function disorder have not been described previously in a patient having plus-minus lid syndrome with ataxia.
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spelling pubmed-75420612020-10-20 Plus-minus lid syndrome with ataxia and severe apathy—A rare manifestation of midbrain infarct Sheetal, S Thomas, R Kumar, AS Tomy, LG J Postgrad Med Case Report Plus-minus lid syndrome is a rare manifestation of midbrain infarct, characterized by ptosis of one eye and lid retraction in the other eye. It has also been described in ocular myasthenia gravis, orbital myositis, or after lesions of the oculomotor nerve. Our patient was a 55-year-old man with hypertension and atrial fibrillation, who presented to us with acute onset left-sided ptosis and right-sided eyelid retraction. He was apathic and had right-sided ataxia. His MRI of the brain showed acute infarct involving the paramedian midbrain. To our knowledge, severe apathy and resultant executive function disorder have not been described previously in a patient having plus-minus lid syndrome with ataxia. Wolters Kluwer - Medknow 2020 2020-07-14 /pmc/articles/PMC7542061/ /pubmed/32675453 http://dx.doi.org/10.4103/jpgm.JPGM_709_19 Text en Copyright: © 2020 Journal of Postgraduate Medicine http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Case Report
Sheetal, S
Thomas, R
Kumar, AS
Tomy, LG
Plus-minus lid syndrome with ataxia and severe apathy—A rare manifestation of midbrain infarct
title Plus-minus lid syndrome with ataxia and severe apathy—A rare manifestation of midbrain infarct
title_full Plus-minus lid syndrome with ataxia and severe apathy—A rare manifestation of midbrain infarct
title_fullStr Plus-minus lid syndrome with ataxia and severe apathy—A rare manifestation of midbrain infarct
title_full_unstemmed Plus-minus lid syndrome with ataxia and severe apathy—A rare manifestation of midbrain infarct
title_short Plus-minus lid syndrome with ataxia and severe apathy—A rare manifestation of midbrain infarct
title_sort plus-minus lid syndrome with ataxia and severe apathy—a rare manifestation of midbrain infarct
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7542061/
https://www.ncbi.nlm.nih.gov/pubmed/32675453
http://dx.doi.org/10.4103/jpgm.JPGM_709_19
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