Skip to main content
SpringerLink
Log in

Isolated unilateral ptosis and mydriasis from ventral midbrain infarction

  • Letter to the Editor
  • Published:
Journal of Neurology Aims and scope Submit manuscript

Abstract

We report a patient who has a tremor and unilateral ptosis and mydriasis without extraocular muscle paresis from an intra-axial lesion demonstrated on neuroimaging. Previously extraocular muscles sparing partial third nerve palsy has been thought to be due to extra-axial lesion such as vascular compression. Compared to proposed models for arrangement of oculomotor fascicle, this case demonstrates that it is possible to damage the fibers destined for levator and pupillomotor function without affecting the extra-ocular muscles.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

References

  1. Abdollah A, Francis GS (1990) Intraaxial divisional oculomotor nerve paresis suggests intraaxial fascicular organization. [comment]. Ann Neurol 28:589–590

    Article  PubMed  CAS  Google Scholar 

  2. Albayram S, Ozer H, Sarici A, Murphy K, Miller N (2006) Unilateral mydriasis without ophthalmoplegia – a sign of neurovascular compression? Case report. Neurosurgery 58:E582–E583 discussion E582–583

    PubMed  Google Scholar 

  3. Breen LA, Hopf HC, Farris BK, Gutmann L (1991) Pupil-sparing oculomotor nerve palsy due to midbrain infarction. Arch Neurol 48:105–106

    PubMed  CAS  Google Scholar 

  4. Castro O, Johnson LN, Mamourian AC (1990) Isolated inferior oblique paresis from brain-stem infarction. Perspective on oculomotor fascicular organization in the ventral midbrain tegmentum. Arch Neurol 47:235–237

    PubMed  CAS  Google Scholar 

  5. Daroff RB (1971) Oculomotor manifestation of brainstem and cerebellar dysfunction. In: Smith JL (ed) Neuro-ophthalmology: symposium of the University of Miami and Bascom-Palmer Eye Institute. Huffman, Hallandale, pp 104–121

    Google Scholar 

  6. Ksiazek SM, Slamovits TL, Rosen CE, Burde RM, Parisi F (1994) Fascicular arrangement in partial oculomotor paresis. Am J Ophthalmol 118:97–103

    PubMed  CAS  Google Scholar 

  7. Liu GT, Crenner CW, Logigian EL, Charness ME, Samuels MA (1992) Midbrain syndromes of Benedikt, Claude, and Nothnagel: setting the record straight. Neurology 42:1820–1822

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Van Cleef Roet Centre for Nervous Diseases, Alfred Hospital, Commercial Road, Prahran, Melbourne, VIC, 3004, Australia

    L. Chen & R. P. Gerraty

  2. Alfred Radiology, Alfred Hospital, Melbourne, VIC, Australia

    W. MacLaurin

  3. Department of Medicine, Monash University, Victoria, Australia

    R. P. Gerraty

Authors
  1. L. Chen
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. W. MacLaurin
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. R. P. Gerraty
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to L. Chen.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Chen, L., MacLaurin, W. & Gerraty, R.P. Isolated unilateral ptosis and mydriasis from ventral midbrain infarction. J Neurol 256, 1164–1165 (2009). https://doi.org/10.1007/s00415-009-5054-1

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00415-009-5054-1

Keywords

Search

Navigation