Article Text

Download PDFPDF
  1. Louis R. Caplan2
  1. Stroke Service of the Massachusetts General Hospital, Boston, Mass., U.S.A.


    Twenty-five examples of ptosis occuring with an acute stroke are analysed. Thirteen of these patients had hemispheral infarctions in which ptosis could not be explained by third nerve or sympathetic dysfunction. The ptosis in these `cerebral' cases was bilateral, with other factors such as pyramidal tract damage determining the asymmetry of the ptosis. In some patients, the eyelid was ptosed on the side of a hemiparesis, narrowing the palpebral fissure. The anatomical basis for this is probably damage to pyramidal neurones or their fibres. The 10 cases of ptosis in relationship to brain-stem infarction included two patients with isolated complete ptosis in one eye in association with a contralateral third nerve palsy.

    Statistics from

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.


    • 2 Address for reprints: Dr. Louis R. Caplan, Neurology Service, Beth Israel Hospital, 330 Brookline Avenue, Boston, Mass. 02215, U.S.A.

    • 1 Work supported by a NINDB Special Fellowship Grant no. 1 F 11 NS 2241-01-NSRA.