Sagging Eye Syndrome or Nemaline Rod Myopathy? Divergence Insufficiency with Levator Dehiscence as an Overlapping Symptom between Two Diagnoses
Joint Authors
Cheung, Stephanie S. L.
Ghadiali, Larissa K.
Brannagan III, Thomas H.
Moonis, Gul
Faust, Phyllis L.
Odel, Jeffrey G.
Source
Case Reports in Ophthalmological Medicine
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-01-15
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
A 78-year-old woman complained of gradual, painless onset of horizontal binocular diplopia associated with progressive axial weakness.
Physical examination revealed esotropia that was greater at distance than at near vision, bilateral levator dehiscence, and normal abducting saccadic speeds.
Given the age of the patient and compatible clinical findings, the diagnosis of Sagging Eye Syndrome (SES) was made.
However, further work-up with a muscle biopsy suggested Sporadic Late-Onset Nemaline Myopathy (SLONM) as the cause of her progressive muscle weakness.
Although rare, external ophthalmoplegia has been described in the literature as a presenting symptom in SLONM.
To elucidate the pathological mechanism for the patient’s diplopia, an MRI of the orbits was performed, which revealed findings consistent with SES.
This case aims to highlight the importance of integrating clinical findings during the diagnostic process and serves as a reminder that diplopia can be a common symptom for an uncommon diagnosis.
American Psychological Association (APA)
Cheung, Stephanie S. L.& Ghadiali, Larissa K.& Brannagan III, Thomas H.& Moonis, Gul& Faust, Phyllis L.& Odel, Jeffrey G.. 2017. Sagging Eye Syndrome or Nemaline Rod Myopathy? Divergence Insufficiency with Levator Dehiscence as an Overlapping Symptom between Two Diagnoses. Case Reports in Ophthalmological Medicine،Vol. 2017, no. 2017, pp.1-3.
https://search.emarefa.net/detail/BIM-1147928
Modern Language Association (MLA)
Cheung, Stephanie S. L.…[et al.]. Sagging Eye Syndrome or Nemaline Rod Myopathy? Divergence Insufficiency with Levator Dehiscence as an Overlapping Symptom between Two Diagnoses. Case Reports in Ophthalmological Medicine No. 2017 (2017), pp.1-3.
https://search.emarefa.net/detail/BIM-1147928
American Medical Association (AMA)
Cheung, Stephanie S. L.& Ghadiali, Larissa K.& Brannagan III, Thomas H.& Moonis, Gul& Faust, Phyllis L.& Odel, Jeffrey G.. Sagging Eye Syndrome or Nemaline Rod Myopathy? Divergence Insufficiency with Levator Dehiscence as an Overlapping Symptom between Two Diagnoses. Case Reports in Ophthalmological Medicine. 2017. Vol. 2017, no. 2017, pp.1-3.
https://search.emarefa.net/detail/BIM-1147928
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1147928