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Bilateral cerebral ptosis

Department of Neurology, University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School, New Brunswick, NJ.

We studied 13 patients with bilateral ptosis after acute right frontotemporoparietal lobe lesions. All patients had conjugate gaze deviation to the right. The ptosis persisted for about 5 days in five patients, or was still evident at the time of discharge or death. Other cranial nerve findings included lower facial weakness in five patients and both upper and lower facial weakness in eight patients. The transience of cerebral ptosis and conjugate gaze disturbance may imply ability of the intact hemisphere to assume control.

Address correspondence and reprint requests to Dr. Lepore, Department of Neurology, University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School, Academic Health Science Center, CN 19, New Brunswick, NJ 08903.

Received June 23, 1986. Accepted for publication in final form September 19, 1986.

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