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Bilateral Central Ptosis in Acquired Immunodeficiency Syndrome

Published online by Cambridge University Press:  18 September 2015

Jason J.S. Barton ,
Randy H. Kardon ,
Daniel Slagel  and
H. Stanley Thompson
Jason J.S. Barton*
Affiliation:
Department of Ophthalmology, University of Iowa Hospitals and Clinics, Iowa City, Iowa
Randy H. Kardon
Affiliation:
Department of Ophthalmology, University of Iowa Hospitals and Clinics, Iowa City, Iowa
Daniel Slagel
Affiliation:
Department of Pathology, University of Iowa Hospitals and Clinics, Iowa City, Iowa
H. Stanley Thompson
Affiliation:
Department of Ophthalmology, University of Iowa Hospitals and Clinics, Iowa City, Iowa
*
Division of Neurology, The Toronto Hospital, 399 Bathurst Street, Toronto, Ontario, Canada M5T 2S8
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Abstract:

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A man with acquired immune deficiency syndrome suddenly developed bilateral complete ptosis and minor vertical gaze limitation. Magnetic resonance imaging revealed a lesion in the midbrain surrounding the sylvian aqueduct in addition to bilateral masses in the caudate nuclei. Pathologic examination showed that the caudate lesions were central nervous system lymphoma of B cell origin, but the midbrain lesion contained only signs of AIDS encephalopathy. The periaqueductal lesion involved the caudal central subnucleus and probably also the subnuclei of the superior and inferior recti of the oculomotor nuclear complex bilaterally.

Type
Original Articles
Information
Canadian Journal of Neurological Sciences , Volume 22 , Issue 1 , February 1995 , pp. 52 - 55
Copyright
Copyright © Canadian Neurological Sciences Federation 1995

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