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[Bilateral ptosis in right hemisphere strokes]

W Drozdowski1

  • 1Kliniki Neurologicznej AM., Białymstoku.

Neurologia I Neurochirurgia Polska
|May 1, 1994
PubMed
Summary

Bilateral ptosis, a rare symptom, occurred in two patients following ischemic strokes affecting the right hemisphere. This may stem from impaired supranuclear control over the bilateral levator palpebrae muscles.

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Area of Science:

  • Neurology
  • Ophthalmology

Background:

  • Ischemic strokes can present with diverse neurological deficits.
  • Bilateral ptosis is an uncommon sequela of cerebrovascular events.

Observation:

  • Two patients developed bilateral ptosis after experiencing right-hemisphere ischemic strokes.
  • The ptosis manifested as drooping of both upper eyelids.

Findings:

  • The observed bilateral ptosis suggests a potential disruption of supranuclear pathways.
  • This may be attributed to the loss of regulatory control over the bilateral levator palpebrae nuclei.

Implications:

  • Understanding this rare presentation enhances diagnostic capabilities for stroke-related ophthalmoplegia.
  • Further research may elucidate the specific neural circuits involved in supranuclear control of eyelid function.

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