Tunisian Journal of Emergency Medicine

Bilateral ptosis caused by midbrain hemorrhage: a case report

Authors

  • Neila MAAROUFI

    Department of emergency medecine, service of emergency , general hospital of jendouba, Tunisia
  • Firas Kessentini

    Department of emergency medecine, service of emergency , general hospital of jendouba, Tunisia
  • Sabra Ouaz

    Department of emergency medecine, service of emergency , general hospital of jendouba, Tunisia
  • Meriem Jemili

    Department of emergency medecine, service of emergency , general hospital of jendouba, Tunisia
  • Moufida Nouari

    Department of emergency medecine, service of emergency , general hospital of jendouba, Tunisia
  • Jihen Lakhal

    Department of emergency medecine, service of emergency , general hospital of jendouba, Tunisia

DOI:

https://doi.org/10.0000/ca8g2n97

Keywords:

cerebral ptosis, cerebral haemorrhage, Computerized Tomography

Abstract

Ptosis occurring in cases of cerebral ischemic or hemorrhagic stroke, trauma or tumor
without involvement of brainstem or oculo-sympathetic mechanism, can be termed as cerebral ptosis. Such eyelid dysfunction can occur with hemispheric involvement of either side. It is associated with higher frequency of gaze preference to side of lesion as well as upgaze limitation compared to patients without cerebral ptosis . Cerebral ptosis is rare. Eliminating an emergency is a real challenge in the face of bilateral ptosis. We report a case of bilateral ptosis occurring after a mesencephalic hematoma . The patient was unable to open her eyes, perform basic activities . Neurogenic ptosis may improve after treatment of the underlying cause.

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Published

31-03-2025

How to Cite

Bilateral ptosis caused by midbrain hemorrhage: a case report. (2025). Tunisian Journal of Emergency Medicine, 3(1). https://doi.org/10.0000/ca8g2n97

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