Een hangend ooglid; diagnostiek op basis van een algoritme

Translated title of the contribution: Eyelid drooping: Diagnosis on the basis of an algorithm

B. W. Van Oosten, C. J. De Langen, G. Tissingh, W. A.E.J. De Vries

Research output: Contribution to journalArticleAcademicpeer-review


Five patients presented with eyelid drooping (blepharoptosis). A 26-year-old man with oculomotor disorders without anisocoria and a slow progressive course without fluctuations had a myogenic condition. His diplopia was alleviated by prism glasses. Surgical correction of the ptosis was planned. An 81-year-old man in whom the symptoms showed a course that varied over time had a disordered neuromuscular transmission that responded well to pyridostigmine. A 57-year-old man with oculomotor disorders and a dilated pupil on the affected side had an injury to the oculomotor nerve (and other cranial nerves), which remained stable after endovascular treatment of the causative aneurysm. A 22-year-old man had a constricted pupil (Horner's syndrome) and pain in the head and neck due to dissection of the internal carotid; his symptoms disappeared spontaneously. A 34-year-old woman had an isolated ptosis due to detachment of the aponeurosis of the M. levator palpebrae superioris following the chronic use of hard contact lenses; she was advised as to how to remove the lenses cautiously, to prevent further detachment. Eyelid drooping can have many causes. A systematic arrangement of the information gathered by a careful medical history and neurological examination often provides a reasonably accurate indication of the possible causes of the complaints.

Translated title of the contributionEyelid drooping: Diagnosis on the basis of an algorithm
Original languageDutch
Pages (from-to)1753-1758
Number of pages6
JournalNederlands Tijdschrift voor Geneeskunde
Issue number36
Publication statusPublished - 4 Sept 2004

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