Unilateral acquired upper eyelid ptosis and decreasing nystagmus.
OBJECTIVE
To describe a patient with congenital nystagmus that decreased in one eye after the development of a cavernous sinus meningioma.


METHODS
Interventional case report.


METHODS
A 45-year-old man with congenital nystagmus, albinism, and high myopia presented with right upper eyelid ptosis that was corrected surgically on three occasions during a 3-year period. An episode of syncope was followed by diagnostic evaluation that disclosed a cavernous sinus meningioma. He commented that his right eye nystagmus progressively decreased. He was found to have ophthalmoplegia on the right eye due to nerve compression by the meningioma.


RESULTS
A magnetic resonance imaging scan disclosed a cavernous sinus meningioma extending into the parachiasmal and clival areas. A biopsy specimen of the lesion demonstrated a meningioma.


CONCLUSIONS
Any patient with acquired ptosis should have a complete ophthalmic examination, including evaluation of extraocular motility.
Neuro-Ophthalmology Service, Wills Eye Hospital, Philadelphia, Pennsylvania 19107, USA.
Ivan G
IG
Castillo
Peter J
PJ
Savino
Helen V
HV
Danesh-Meyer
Robert D
RD
Reinecke
D016115:Albinism, Oculocutaneous / Q000150:complications; D001763:Blepharoptosis / Q000209:etiology*; D002426:Cavernous Sinus / Q000473:pathology*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008577:Meningeal Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology; D008579:Meningioma / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology; D008875:Middle Aged; D009216:Myopia / Q000150:complications; D009408:Nerve Compression Syndromes / Q000209:etiology; D020417:Nystagmus, Congenital / Q000209:etiology* / Q000503:physiopathology; D009886:Ophthalmoplegia / Q000209:etiology