Ptosis and addiction deficit

Ptosis and addiction deficit
Posted on October 13, 2017 at 17:16:53 by Advise please

Saw a patient in oculoplastic clinic. Patient Is a 15-year-old boy with bilateral ptosis of 1 year duration good Bells levator function 2mm no diplopia no SOB or swallowing problem and otherwise healthy no family history two younger sisters normal ocular appearance. Ocular movement shows poor addiction to either side with restricted vertical gaze ptosis not responding to ice test. Fundoscopy normal. Thinking of listing him for frontalis suspension but not sure of the underlying condition so referred him to neurologist for investigation. What could be the cause?

Replies:

Re(1): Ptosis and addiction deficit - By Photo October 13, 2017 at 17:18:48
- Re(2): Ptosis and addiction deficit - By Strab man October 13, 2017 at 21:48:34
  - Re(3): Ptosis and addiction deficit - By Photo October 14, 2017 at 13:30:44
  - Re(3): Ptosis and addiction deficit - By Strab man October 13, 2017 at 22:51:37
    - Re(4): Ptosis and addiction deficit - By Strab man October 14, 2017 at 22:29:42
      - Re(5): Ptosis and addiction deficit - By photo October 15, 2017 at 15:02:30
        
        Re(6): Ptosis and addiction deficit - By Kearns November 2, 2017 at 16:57:45

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