PT  - JOURNAL ARTICLE
AU  - Sunil James
AU  - Karunakaran Pradeep Thozhuthumparambil
TI  - Brainstem stroke presenting as isolated bilateral ptosis
AID  - 10.1136/bcr-2021-243220
DP  - 2021 Jul 01
TA  - BMJ Case Reports
PG  - e243220
VI  - 14
IP  - 7
4099  - http://casereports.bmj.com/content/14/7/e243220.short
4100  - http://casereports.bmj.com/content/14/7/e243220.full
SO  - BMJ Case Reports2021 Jul 01; 14
AB  - Pure midbrain infarctions not involving surrounding structures are an uncommon clinical phenomenon. A midbrain infarction that results in isolated bilateral ptosis as the only neurological deficit is much rarer and an easy diagnosis to miss; therefore, potentially leading to further downstream complications. We describe the case of an elderly patient who presented with isolated bilateral ptosis, initially thought to be consequent to myasthenia gravis but subsequently identified to have a perforator infarct in the midbrain, resulting in his symptoms.