Myasthenia gravis (MG) is a disease of autoimmunity with variable and diverse clinical presentations. The target tissue is neuromuscular junction of skeletal muscles, where efficient nerve impulse transmission is hampered leading to less effective muscle contraction. Patients of MG usually present with bilateral ptosis, diplopia and fatigability, which may or may not coexist with generalised we...

how to cite this article: talebian a, soltani b, talebian m. bilateral ptosis as the first presentation of guillain-barre syndrome. iran j child neurol. winter 2016; 10(1):70-72. abstract objective guillain-barre syndrome (gbs) is the most common cause of acute weakness in children. it has multiple variant forms with different presentations. a rare initial sign is ptosis. in this study, we pres...

BACKGROUND The Regnault classification of breast ptosis is insufficient for determining surgical strategies for different stages of ptosis. OBJECTIVE A new clinical classification of breast ptosis is proposed that allows greater precision in the development of an appropriate surgical plan. METHODS Breast ptosis is classified in 1-cm stages, beginning with stage A at 2 cm above the inframamm...

We report a case of unilateral transient mydriasis and ptosis after botulinum toxin injection applied by a medical doctor for a cosmetic procedure. A 36-year-old nurse was referred to our eye clinic with unilateral mydriasis and ptosis in the right eye 3 days after botulinum toxin injection for a cosmetic procedure. Botulinum toxin was applied to her eye by a doctor at her hospital who was not ...

Hypothyroidism can cause a variety of signs and symptoms of the neuromuscular system. However, ptosis in a patient with hypothyroidism is very rare. We report here on a case of central hypothyroidism that was due to Sheehan's syndrome and it manifested as bilateral ptosis in a 51-yr-old woman. She complained of exertional dyspnea and weakness. About 25-yr ago, she had a history of severe postpa...

PURPOSE To determine upper eyelid ptosis prevalence and some related factors in 44- to 69-year-olds of Shahroud in the north of Iran. METHODS In 2009, using multi-stage cluster sampling, 300 clusters of 40-64-year-olds were selected in Shahroud city, and all 5190 participants were invited to be re-examined in 5 years (2014). The current report is the second phase of the study in which 4737 (9...

purpose: to evaluate the outcomes of ptosis surgery in patients with weak levator function using orbicularis oculi and frontalis muscles. methods: this prospective interventional case series study was conducted over 3 years on patients with ptosis and weak levator function (less than 4mm). in all cases, orbicularis oculi and frontalis muscles were used directly to correct the ptosis. success wa...

PURPOSE To describe the demographics, characteristics, management pitfalls, and outcomes of pseudoptosis associated with congenital fibrosis of the extraocular muscles (CFEOM). METHODS A retrospective review was performed of eight patients presenting with ptosis and hypotropia to oculoplastic service. All patients underwent full ocular evaluation and magnetic resonance imaging of brain and or...