Unilateral Ptosis and Contralateral Eyelid Retraction from a Thalamic-Midbrain Infarction: Magnetic Resonance Imaging Correlation

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Abstract

We report a patient with a third nerve palsy and contra-lateral eyelid retraction from a thalamic-midbrain infarction. Magnetic resonance imaging confirms that this unusual clinical combination, previously termed “the plus-minus lid syndrome,” results from a lesion in the region of the nucleus of the posterior commissure with extension to the third nerve fascicle.

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