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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.
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References
- Finsterer J. Ptosis: causes, presentation, and management. Aesthetic Plast Surg. 2003 Jun;27(3):193–204.
- Morax S, Baudoin F, Hurbli T. Chirurgie des ptosis post-traumatiques. In: Annales de chirurgie plastique et esthétique [Internet]. Elsevier Masson; 1995 [cited 2017 Feb 21]. p. 691–705. Available from: http://cat.inist.fr/?aModele=afficheN&cpsidt=2955500
- Li G, Zhang Y, Zhu X, Hou K. Transient traumatic isolated neurogenic ptosis after a mild head trauma: a case report. BMC Ophthalmol. 2015;15:161.
- Jung JW, Chi MJ. Temporary unilateral neurogenic blepharoptosis after orbital medial wall reconstruction: 3 cases. Ophthalmol J Int Ophtalmol Int J Ophthalmol Z Augenheilkd. 2008;222(5):360–2.
- Song H, Lim SY, Park MC, Lee IJ, Park DH. Transient and isolated neurogenic blepharoptosis after medial orbital wall reconstruction. J Craniofac Surg. 2014 May;25(3):1106–8.
- McCulley TJ, Kersten RC, Yip C-C, Kulwin DR. Isolated unilateral neurogenic blepharoptosis secondary to eyelid trauma. Am J Ophthalmol. 2002 Oct 1;134(4):626–7.
- Satchi K, Kumar A, McNab AA. Isolated traumatic neurogenic ptosis with delayed recovery. Ophthal Plast Reconstr Surg. 2014 Feb;30(1):57–9.
- Paranque AR, Steve M, Gola R, Krastinova D, Franchi G. A propos d’un ptosis post-traumatique. /data/revues/00351768/01040001/49/ [Internet]. 2008 Feb 22 [cited 2017 Feb 21]; Available from: http://www.em-consulte.com/en/article/94463
- Lin C, Dong Y, Lv L, Yu M, Hou L. Clinical features and functional recovery of traumatic isolated oculomotor nerve palsy in mild head injury with sphenoid fracture. J Neurosurg. 2013 Feb;118(2):364–9.
References
Finsterer J. Ptosis: causes, presentation, and management. Aesthetic Plast Surg. 2003 Jun;27(3):193–204.
Morax S, Baudoin F, Hurbli T. Chirurgie des ptosis post-traumatiques. In: Annales de chirurgie plastique et esthétique [Internet]. Elsevier Masson; 1995 [cited 2017 Feb 21]. p. 691–705. Available from: http://cat.inist.fr/?aModele=afficheN&cpsidt=2955500
Li G, Zhang Y, Zhu X, Hou K. Transient traumatic isolated neurogenic ptosis after a mild head trauma: a case report. BMC Ophthalmol. 2015;15:161.
Jung JW, Chi MJ. Temporary unilateral neurogenic blepharoptosis after orbital medial wall reconstruction: 3 cases. Ophthalmol J Int Ophtalmol Int J Ophthalmol Z Augenheilkd. 2008;222(5):360–2.
Song H, Lim SY, Park MC, Lee IJ, Park DH. Transient and isolated neurogenic blepharoptosis after medial orbital wall reconstruction. J Craniofac Surg. 2014 May;25(3):1106–8.
McCulley TJ, Kersten RC, Yip C-C, Kulwin DR. Isolated unilateral neurogenic blepharoptosis secondary to eyelid trauma. Am J Ophthalmol. 2002 Oct 1;134(4):626–7.
Satchi K, Kumar A, McNab AA. Isolated traumatic neurogenic ptosis with delayed recovery. Ophthal Plast Reconstr Surg. 2014 Feb;30(1):57–9.
Paranque AR, Steve M, Gola R, Krastinova D, Franchi G. A propos d’un ptosis post-traumatique. /data/revues/00351768/01040001/49/ [Internet]. 2008 Feb 22 [cited 2017 Feb 21]; Available from: http://www.em-consulte.com/en/article/94463
Lin C, Dong Y, Lv L, Yu M, Hou L. Clinical features and functional recovery of traumatic isolated oculomotor nerve palsy in mild head injury with sphenoid fracture. J Neurosurg. 2013 Feb;118(2):364–9.