title: Bilateral blepharoptosis in a juvenile.
abstract: In adults, aponeurotic blepharoptosis is the most common type of ptosis. However, myogenic ptosis is the predominant cause, and bilateral aponeurotic ptosis is very rare among children. Here, we report a previously healthy 10-year-old Japanese girl with bilateral aponeurotic blepharoptosis who presented initially with bilateral blepharoptosis for about 4years. This case report shows that history taking and careful observation of the patient lead to an accurate diagnosis, and aponeurotic ptosis should be considered in the differential diagnosis of bilateral blepharoptosis among children.
authors.affiliation: Department of Neurology, Hyogo Prefectural Kobe Children's Hospital, Kobe, Japan. Electronic address: hiyamaguchi_kch@hp.pref.hyogo.jp.
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Yamaguchi
authors.affiliation: Department of Neurology, Hyogo Prefectural Kobe Children's Hospital, Kobe, Japan.
authors.forename: Tsukasa
authors.initials: T
authors.lastname: Tanaka
authors.affiliation: Department of Neurology, Hyogo Prefectural Kobe Children's Hospital, Kobe, Japan.
authors.forename: Daisaku
authors.initials: D
authors.lastname: Toyoshima
authors.affiliation: Department of Neurology, Hyogo Prefectural Kobe Children's Hospital, Kobe, Japan.
authors.forename: Azusa
authors.initials: A
authors.lastname: Maruyama
authors.affiliation: Department of Plastic Surgery, Graduate School of Medicine, Kobe University, Kobe, Japan.
authors.forename: Akihiro
authors.initials: A
authors.lastname: Ichinose
authors.affiliation: Department of Neurology, Hyogo Prefectural Kobe Children's Hospital, Kobe, Japan.
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Nagase
mesh_terms: D001763:Blepharoptosis / Q000175:diagnosis / Q000188:drug therapy / Q000473:pathology; D002648:Child; D004576:Electromyography; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D010656:Phenylephrine / Q000627:therapeutic use*; D014662:Vasoconstrictor Agents / Q000627:therapeutic use*
chemical_list: D014662:Vasoconstrictor Agents; D010656:Phenylephrine
keywords: Aponeurotic ptosis; Blepharoptosis; Eyelid; Müller muscle; Phenylephrine test