Transient Traumatic Neurogenic Ptosis In An 8-Year Old Boy: A Case Report

Viola Andin Dohvoma, Stève Robert Ebana Mvogo, Marie Blanche Nguena, Patricia Gouking, Didier Owono, Emilienne Epee, Côme Ebana Mvogo

Abstract


 

ABSTRACT

Transient traumatic neurogenic ptosis is a self-limited ptosis which recovers with conservative management or observation. The authors report the case of an 8-year old boy who was seen following contusion to the upper eyelid. Ptosis with no levator function, consistent with loss of innervation was present following complete resolution of initial eyelid oedema. Ptosis improved after 2 weeks. With patching of the contralateral eye, complete recovery was present after the 4th week. The indication for ptosis surgery in post traumatic ptosis should be delayed to give room for spontaneous recovery in the case of a transient neurogenic form.

 

RÉSUMÉ

Le ptosis neurogène post traumatique transitoire est un ptosis qui guérit spontanément. Les auteurs rapportent le cas d’un garçon de 8 ans victime d’une contusion de la paupière supérieure droite. Après résorption de l’œdème, on note une paralysie complète du releveur de la paupière supérieure. Une régression spontanée est notée après 2 semaines. La rémission complète est obtenue après occlusion de l’œil adelphe, 4 semaines après le début de la symptomatologie. Dans un cas de ptosis neurogène transitoire, la rémission en général spontanée doit faire différer toute chirurgie du ptosis.


Keywords


transient traumatic neurogenic ptosis, orbital trauma, ptosis

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