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Locked-in syndrome with bilateral ptosis: combination of bilateral horizontal pontine gaze paralysis and nuclear oculomotor nerve paralysis

✍ Scribed by I. Dehaene; R. Dom; M. Marchau; K. Geens

Publisher: Springer
Year: 1985
Tongue: English
Weight: 248 KB
Volume: 232
Category: Article
ISSN: 0340-5354
DOI: 10.1007/bf00313838

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✦ Synopsis

A patient with a classical locked-in syndrome is described, in whom bilateral ptosis was observed on the 2nd day. On the 4th day, ophthalmoplegia was complete with the exception of a voluntary downward movement of the right eye. The syndrome can be explained by the association of bilateral horizontal pontine gaze palsy and a unilateral nuclear oculomotor nerve palsy, and approximates the "total locked-in syndrome".