Clinical Reasoning: A 16-Year-Old Adolescent Boy With Ophthalmoplegia and Unilateral Ptosis

Ophthalmoplegia with ptosis represents a heterogeneous group of disorders that pose significant diagnostic challenges. We report the case of a 16-year-old adolescent boy presenting with ophthalmoplegia and unilateral ptosis. This case underscores the critical role of comprehensive clinical evaluation and standardized therapeutic protocols in the diagnosis and management of this disorder. Readers will walk through the stepwise diagnostic approach to arrive at the leading diagnosis, with a review of the possible differential diagnoses for the relevant clinical manifestations.

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Publication Details

Journal
Neurology
Published
2025-11-24
DOI
https://doi.org/10.1212/wnl.0000000000214430
Primary Topic
Ophthalmology and Eye Disorders
Type
article
Field-Weighted Citation Impact
0.00

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article

Clinical Reasoning: A 16-Year-Old Adolescent Boy With Ophthalmoplegia and Unilateral Ptosis

Haowei Wang, Haiqiang Jin, Jianwen Deng, Yining Huang et al.
Neurology
Ophthalmology and Eye Disorders
article

Clinical Reasoning: A 16-Year-Old Adolescent Boy With Ophthalmoplegia and Unilateral Ptosis

Haowei Wang, Haiqiang Jin, Jianwen Deng, Yining Huang, Yuan Wu, Zhen Yu, Zhaoxia Wang, Yuxuan Lu
article en

Abstract

Ophthalmoplegia with ptosis represents a heterogeneous group of disorders that pose significant diagnostic challenges. We report the case of a 16-year-old adolescent boy presenting with ophthalmoplegia and unilateral ptosis. This case underscores the critical role of comprehensive clinical evaluation and standardized therapeutic protocols in the diagnosis and management of this disorder. Readers will walk through the stepwise diagnostic approach to arrive at the leading diagnosis, with a review of the possible differential diagnoses for the relevant clinical manifestations.

NeurologyVol. 105(12)
Peking University (CN), Peking University First Hospital (CN)
National Natural Science Foundation of China
Openalex Percentile: Top 50%
Ophthalmology and Eye Disorders
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