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Lid nystagmus as a sign of intrinsic midbrain disease
1Department of Ophthalmology, University of Arkansas for Medical Sciences, Little Rock, USA.
Abstract:
A 6-year-old boy with signs and symptoms of ocular myasthenia gravis had lid nystagmus evoked by horizontal gaze. MR imaging demonstrated an intrinsic midbrain lesion, which was diagnosed by biopsy as a low-grade astrocytoma. In the setting of ocular myasthenia gravis, the finding of lid nystagmus may serve as a useful clinical sign of intrinsic midbrain disease.
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