| Title |
Enhanced Ptosis in Lambert-Eaton Myasthenic Syndrome |
| Creator |
Brazis, PW |
| Affiliation |
Department of Neurology, Mayo Clinic-Jacksonville 32224, USA. |
| Abstract |
A patient with Lambert-Eaton myasthenic syndrome (LEMS) presented with a bilateral ptosis that improved transiently after sustained upgaze. The contralateral ptosis became aggravated on manually lifting either eyelid with and without fixation (enhanced ptosis). Enhanced ptosis is a common finding in many patients with ptosis resulting from myasthenia gravis; however, to our knowledge, this is the first description of this sign in a patient with LEMS. The phenomenon of enhanced ptosis should be sought in all patients with ptosis. Improvement of the ptosis after sustained upward gaze suggests the diagnosis of LEMS. |
| Subject |
Older people; Blepharoptosis/etiology; Blepharoptosis/physiopathology; Eyelids/physiopathology; Female; Humans; Lambert-Eaton Myasthenic Syndrome/complications |
| Format |
application/pdf |
| Publication Type |
Journal Article |
| Collection |
Neuro-Ophthalmology Virtual Education Library: Journal of Neuro-Ophthalmology Archives: https://novel.utah.edu/jno/ |
| Publisher |
Lippincott, Williams & Wilkins |
| Holding Institution |
Spencer S. Eccles Health Sciences Library, University of Utah |
| Rights Management |
© North American Neuro-Ophthalmology Society |
| Setname |
ehsl_novel_jno |
| ID |
224835 |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6962pmg/224835 |