Tuesday, March 10, 2009

Ptosis as presenting sign of levator palpebrae myositis

Neuroimages. Neurology 2008; 71:1202

A 45 year old surgeon presented with 2 days of eye pain and ptosis, isolated. The key study was an enhanced MRI orbits, with fat suppression sequences, that showed enhancement of the right levator palpebrae. Corticosteroids are usually effective but were not required in this patient who resolved spontaneously.

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