title: Unilateral ptosis and contralateral eyelid retraction from a thalamic-midbrain infarction. Magnetic resonance imaging correlation.
abstract: We report a patient with a third nerve palsy and contralateral eyelid retraction from a thalamic-midbrain infarction. Magnetic resonance imaging confirms that this unusual clinical combination, previously termed "the plus-minus lid syndrome," results from a lesion in the region of the nucleus of the posterior commissure with extension to the third nerve fascicle.
authors.affiliation: Department of Neurology, University of Pennsylvania School of Medicine, Philadelphia 19104.
authors.forename: S L
authors.initials: SL
authors.lastname: Galetta
authors.forename: L G
authors.initials: LG
authors.lastname: Gray
authors.forename: E C
authors.initials: EC
authors.lastname: Raps
authors.forename: R I
authors.initials: RI
authors.lastname: Grossman
authors.forename: N J
authors.initials: NJ
authors.lastname: Schatz
mesh_terms: D001763:Blepharoptosis / Q000209:etiology*; D002544:Cerebral Infarction / Q000150:complications* / Q000175:diagnosis; D005141:Eyelid Diseases / Q000209:etiology*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008636:Mesencephalon / Q000098:blood supply*; D008875:Middle Aged; D015840:Oculomotor Nerve Diseases / Q000209:etiology; D013788:Thalamus / Q000098:blood supply*