Keep your eyes open: an unusual case of ptosis

Tziotzios, C. and Walters, M. (2011) Keep your eyes open: an unusual case of ptosis. QJM: An International Journal of Medicine, 104(3), pp. 257-258. (doi: 10.1093/qjmed/hcq093)

Abstract

A 68-year-old man was referred following sudden onset ptosis of his right eye associated with diplopia and frontal headache. His medical history included recently diagnosed diet-controlled type II diabetes, hypercholesterolaemia, essential hypertension and benign prostatic hyperplasia. Routine medication prior to admission was aspirin, bendroflumethiazide, atenolol, alfuzosin and simvastatin. On admission, complete right ptosis was seen ( Figure 1 ) and eye movements were impaired in a fashion consistent with peripheral oculomotor palsy with pupillary sparing. Neurological examination revealed absent ankle jerks and symmetrical absence of vibration sense and proprioception below the ankles but the remainder of physical examination was normal.

• Item Type: Articles
• Status: Published
• Refereed: Yes
• Glasgow Author(s) Enlighten ID: Tziotzios, Dr Christos and Walters, Professor Matthew
• Authors: Tziotzios, C., and Walters, M.
• College/School: College of Medical Veterinary and Life Sciences; College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing
• Journal Name: QJM: An International Journal of Medicine
• Publisher: Oxford University Press
• ISSN: 1460-2725