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Neuromyelitis optica presenting as acute bilateral ptosis
  1. Purwa Joshi1,
  2. Jeremy Lanford1,
  3. David Bourke2
  1. 1Neurology Department, Wellington Hospital, Wellington, New Zealand
  2. 2Neurology Department, Capital & Coast District Health Board, Wellington, New Zealand
  1. Correspondence to Dr Purwa Joshi, Neurology Department, Wellington Hospital, Wellington, New Zealand, Address: Riddiford Street, Newtown, Wellington 6021, New Zealand; purwa.joshi{at}


Acute bilateral ptosis can be a hallmark of several serious neurological conditions. We present the first case of acute bilateral near-complete ptosis secondary to neuromyelitis optica spectrum disorder. We suggest that clinicians should consider this disorder among the differential diagnosis of acute bilateral ptosis, especially if there are other brainstem signs.


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  • Contributors All authors were responsible for the clinical care of the patient described in the case report. The initial draft was written by PJ. All authors contributed to the final manuscript.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed. This paper was reviewed by Kate Ahmad, Edinburgh, UK and Sarosh Irani, Oxford, UK.

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