Authors: Nadeem Ali James Acheson
Publish Date: 2011/01/26
Volume: 258, Issue: 5, Pages: 923-924
Abstract
Chronic progressive external ophthalmoplegia CPEO is a common presentation of mitochondrial disease and is typically bilaterally symmetric We present an unusual case of CPEO that remained unilateral and therefore eluded diagnosis for nearly 30 yearsA 39yearold woman presented with horizontal diplopia She had a long standing right partial ptosis from her early twenties There were no other neurological symptoms or relevant features in the history Examination showed a right mild nonfatigable ptosis with limited adduction elevation and depression of the right eye The left eye and remaining ophthalmic and neurological examination were normal Computer tomography CT imaging of brain and orbits was unremarkable and conservative management was pursued
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