Medical College of Wisconsin
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Bilateral ptosis and upgaze palsy with right hemispheric lesions. Ann Neurol 1996 Sep;40(3):465-8

Date

09/01/1996

Pubmed ID

8797540

DOI

10.1002/ana.410400320

Scopus ID

2-s2.0-0029835548 (requires institutional sign-in at Scopus site)   32 Citations

Abstract

Bilateral ptosis is reported with unilateral hemispheric lesions, suggesting partial lateralization of the control of the levator palpebrae superioris. There is a tight synkinesis between vertical eye and eyelid movements, but a similar, lateralized control of vertical gaze has not been previously described. We report 3 patients with right hemispheric infarctions, in whom bilateral ptosis was accompanied by impaired upward gaze. We postulate that this lateralization of ocular motor function reflects the special contribution that the nondominant hemisphere makes to attention.

Author List

Averbuch-Heller L, Stahl JS, Remler BF, Leigh RJ

Author

Bernd F. Remler MD Professor in the Neurology department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Aged
Blepharoptosis
Brain
Cerebral Infarction
Female
Functional Laterality
Humans
Middle Aged
Oculomotor Muscles
Ophthalmoplegia
Tomography, X-Ray Computed