45 years old patient with palpebral ptosis and headaches.

Dr. Aida Abaz Quka., FACULTY OF MEDICINE, NEUROLOGY POST GRADUATION DEGREE

Dr. Sheetal Kamble
Homeopathic Physician

Have you checked his sugar levels? I had seen few diabetic patients with similar symptoms.
Also it can be mere occular migraine.

17.Dec, 01:52am

Dr. Guillaume J Lamotte
Neurologist

Hello,

The symptoms are very concerning for a third nerve palsy with ptosis and mydriasis. Any oculomotor abnormality? Patient needs vessel imaging (i.e. MRA or CTA) to rule out compressive etiology such as PiCOM aneurysm if he has a third nerve palsy with pupil involvement. Other causes of third nerve palsy (i.e. microvascular in setting of diabetes, etc...) should be investigated if he does have a third nerve palsy.

Sincerely

03.Jan, 05:35am

Dr. Aida Abaz Quka
Neurologist

Thanks for the suggestion. It true that it is third cranial nerve palsy. brain CTA and MRI are normal.

Steroid therapy helped improve the situation.

Kind regards!

03.Jan, 03:30pm

Dr. Mohammad Abdallah Elsad Asran
Pulmonologist

Trigeminal nueralgia.

27.Jul, 04:44pm