Hydrocephalus due to aqueductal stenosis presenting with acute bilateral ptosis: case report. (1st November 2020)

• Record Type: Journal Article
• Authors: Wu, Mingxing; Ge, Xiushan; Li, Yanbin; Li, Jiye; Ma, Minglei; Wu, Di; Peng, Xiaoyin; Zhang, Bingke
• Is Part Of: British journal of neurosurgery. Volume 34:Number 6(2020)
• Page Start: 683
• Page End: 685
• Publication Date: 2020-11-01
• Subjects: Hydrocephalus -- endoscopy treatment -- Sylvian aqueduct -- third ventriculostomy; Nervous system -- Surgery -- Periodicals; 617.48
• DOI: 10.1080/02688697.2019.1699904
• Languages: English
• ISSNs: 0268-8697

Abstract

Abstract: Hydrocephalus may cause Parinaud's syndrome which consists of vertical gaze palsy, convergence palsy, lid retraction and pupil light-near dissociation. We are aware of only two prior reports of hydrocephalus presenting with bilateral ptosis. Both were cured by ventriculoperitoneal shunts. We report a 28-month-old girl who presented acute bilateral ptosis but full eye movements both sides. Neuroimages revealed chronic hydrocephalus and aqueductal stenosis. The bilateral ptosis resolved quickly after endoscopic third ventriculostomy (ETV).