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Middle-aged woman presents with rapidly progressive bilateral ptosis and diplopia

from Healio

A 56-year-old woman presented to Tufts Medical Center with a 2-day history of rapid-onset binocular horizontal diplopia and an inability to open her eyes. Her double vision was initially present in left gaze only but soon involved all directions of gaze. She noted the inability to open her left upper eyelid 2 days before presentation, which was soon followed by involvement of the right upper eyelid 1 day later. Her vision was otherwise stable. She denied any eye pain or other ophthalmic complaints. more


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