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The astrologist's posture: a useful clinical observation
  1. Bart W Smits,
  2. Barbaba M van der Sluijs,
  3. Baziel G M van Engelen
  1. Department of Neurology, Neuromuscular Centre Nijmegen, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
  1. Correspondence to Dr B W Smits, Neuromuscular Centre Nijmegen, Department of Neurology, Radboud University Nijmegen Medical Centre, PO Box 9101, 6500 HB Nijmegen, The Netherlands; b.smits{at}

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The astrologist's posture is characterised by retroflexion of the neck combined with downward gaze and is a common compensation for severe bilateral ptosis. The term was probable first described by Sir Jonathan Hutchinson although references to his original publication are lacking.1 Although the term astrologist's posture is not widely used, we propose that it can very helpful in differentiating between two of the commonest types of adult onset ocular …

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  • BWS and BMvdS contributed equally to this article.

  • Competing interests None.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.