A case of Plus minus lid syndrome with Hypesthesia- Hemiataxia

Authors

  • Sinjan Ghosh Department of Neurology, Nil Ratan Sircar Medical College and Hospital, Kolkata, West Bengal, India
  • Gautam Guha Department of Neurology, Nil Ratan Sircar Medical College and Hospital, Kolkata, West Bengal, India
  • Manoj Kumar Roy Department of Neurology, Nil Ratan Sircar Medical College and Hospital, Kolkata, West Bengal, India
  • Annesh Bhattacharjee Department of Neurology, Nil Ratan Sircar Medical College and Hospital, Kolkata, West Bengal, India
  • Nikhil Repaka Department of Neurology, Nil Ratan Sircar Medical College and Hospital, Kolkata, West Bengal, India
  • Sourav Nanda Department of Neurology, Nil Ratan Sircar Medical College and Hospital, Kolkata, West Bengal, India
  • Niraja Agasti Department of Neurology, Nil Ratan Sircar Medical College and Hospital, Kolkata, West Bengal, India

DOI:

https://doi.org/10.3126/ajms.v11i3.28305

Keywords:

Plusminus, Hypesthesia, ptosis, lid retraction, midbrain infarction, Hemiataxia

Abstract

We present the case of a patient with paramedian mesencephalic and ipsilateral thalamic infarction with an unusual clinical presentation, where the diagnosis and accurate anatomical localization were imperative for a unique clinicoradiological correlation.

Our patient was a 42-years old, right-handed Indian gentleman with hypertension who presented following acute myocardial infarction. He developed acute diplopia, left ptosis and right eyelid retraction. There was an associated hemiataxia and diminished sensation in right half of body.

Plus-minus lid syndrome and hemiataxia - hypesthesia are two different clinical syndromes. A co-association of these two syndromes in the same patient is rare which was evident in our case.

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Author Biographies

Sinjan Ghosh, Department of Neurology, Nil Ratan Sircar Medical College and Hospital, Kolkata, West Bengal, India

Post DM Senior Resident

Gautam Guha, Department of Neurology, Nil Ratan Sircar Medical College and Hospital, Kolkata, West Bengal, India

Associate Professor

Manoj Kumar Roy, Department of Neurology, Nil Ratan Sircar Medical College and Hospital, Kolkata, West Bengal, India

Post DM Senior Resident

Annesh Bhattacharjee, Department of Neurology, Nil Ratan Sircar Medical College and Hospital, Kolkata, West Bengal, India

DM Resident

Nikhil Repaka, Department of Neurology, Nil Ratan Sircar Medical College and Hospital, Kolkata, West Bengal, India

DM Resident

Sourav Nanda, Department of Neurology, Nil Ratan Sircar Medical College and Hospital, Kolkata, West Bengal, India

DM Resident

Niraja Agasti, Department of Neurology, Nil Ratan Sircar Medical College and Hospital, Kolkata, West Bengal, India

DM Resident

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Published

2020-05-01

How to Cite

Ghosh, S., Guha, G., Roy, M. K., Bhattacharjee, A., Repaka, N., Nanda, S., & Agasti, N. (2020). A case of Plus minus lid syndrome with Hypesthesia- Hemiataxia. Asian Journal of Medical Sciences, 11(3), 77–80. https://doi.org/10.3126/ajms.v11i3.28305

Issue

Section

Case Reports