Unilateral ptosis and contralateral eyelid retraction from a thalamic-midbrain infarction. Magnetic resonance imaging correlation.
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.
Galetta
S L
SL
Department of Neurology, University of Pennsylvania School of Medicine, Philadelphia 19104.
Gray
L G
LG
Raps
E C
EC
Grossman
R I
RI
Schatz
N J
NJ
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*