Re(4): Ptosis and addiction deficit
Posted on October 14, 2017 at 22:29:42 by Strab man
If it isn’t congenital then it’s acquired bilateral 3rd nerve palsy and needs scanned.
(One aspect that suggests it is longstanding, is the absence of diplopia despite their being manifest strabismus)
I’d suggest review the history again with particular attention to when the abnormal eye movement were first noted.
If truely it is a 1 year history then I would ask for urgent neuro imaging.
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