title: Quadriparesis and nuclear oculomotor palsy with total bilateral ptosis mimicking coma: a mesencephalic 'locked-in syndrome"?
abstract: Upper lid and vertical eye movements are usually preserved in patients with the "locked-in" syndrome, a condition manifested by anarthria, spastic quadriparesis, and intact mental function, and caused by lesions in the ventral portion of the pons. We describe a presumed mesencephalic "locked-in" syndrome in a patient who had total bilateral ptosis at the onset of his disease and later on experienced complete bilateral oculomotor nerve paralysis.
mesh_terms: D000368:Aged; D001763:Blepharoptosis / Q000503:physiopathology*; D001927:Brain Diseases / Q000503:physiopathology*; D003128:Coma / Q000503:physiopathology*; D004569:Electroencephalography; D006801:Humans; D008297:Male; D008636:Mesencephalon / Q000503:physiopathology; D009886:Ophthalmoplegia / Q000503:physiopathology*; D013577:Syndrome