A rare midbrain infarction presenting with plus-minus lid syndrome with ataxia: A case report

Khalid Alsherbini, Kevin Kapadia, Justin A. Sattin

Research output: Contribution to journalArticle

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Abstract

Introduction. We present the case of a patient with midbrain infarction with an unusual clinical presentation, where clinical diagnosis and anatomical localization were valuable tools in deciding treatment. Case presentation. Our patient was a 59-year-old, right-handed Caucasian man with hypertension who presented to our facility with acute diplopia that persisted until he developed complete right-sided ptosis. He also had difficulty walking and coordinating movements of his upper extremities bilaterally, but this was worse on his left side. Conclusions: Plus-minus lid syndrome with ataxia is a rare presentation of midbrain infarction with a unique localization and anatomical description. This case highlights the importance of clinical skills for making a diagnosis in the absence of imaging to confirm the findings.

Original languageEnglish (US)
Article number525
JournalJournal of Medical Case Reports
Volume5
DOIs
StatePublished - Oct 27 2011

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Ataxia
Mesencephalon
Infarction
Mobility Limitation
Clinical Competence
Diplopia
Upper Extremity
Hypertension
Therapeutics

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

A rare midbrain infarction presenting with plus-minus lid syndrome with ataxia : A case report. / Alsherbini, Khalid; Kapadia, Kevin; Sattin, Justin A.

In: Journal of Medical Case Reports, Vol. 5, 525, 27.10.2011.

Research output: Contribution to journalArticle

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