Sudden-onset unilateral ptosis induced by pituitary Macroadenoma, with false-positive jolly and neostigmine tests

G-X. Shen, K-J. Wu, Z. Chen, Y-F. Gao, G-X. Nan

Article ID: 5121
Vol 32, Issue 2, 2018
DOI: https://doi.org/10.54517/jbrha5121
Received: 9 May 2018; Accepted: 9 May 2018; Available online: 9 May 2018; Issue release: 9 May 2018

Abstract

The development of ptosis as a consequence of pituitary tumor is an exceptionally rare occurrence. Here, we describe the case of sudden-onset unilateral ptosis induced by pituitary macroadenoma. The condition was characterized by false-positive Jolly and neostigmine tests. These findings mimic oculomotor nerve palsy and make the correct diagnostics rather challenging. The case points to the fact that patients with acquired ptosis need detailed neuroophthalmological examination.


Keywords

pituitary adenoma;oculomotor nerve palsy;myasthenia gravis;rapid eye blinking test;neostigmine test


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