Nobels-Janssen Edith, de Kort Floor A S, Linn F H H, Verrips Aad
Canisius Wilhelmina Ziekenhuis, afd. Neurologie, Nijmegen.
Contact: Edith Nobels-Janssen (
Ned Tijdschr Geneeskd. 2021 Dec 20;165:D6108.
A variable ptosis may point towards serious neurological disorders and is presented to general practitioners, ophthalmologists and neurologists.
Two patients presented at the neurology outpatient clinic with a ptosis confined to awakening from sleep. There were no other neurological complaints and neurological examination was normal. The diagnosis 'awakening ptosis' was made.
Awakening ptosis is a benign, but rare disorder. The exact pathophysiology remains unclear. In the case of a classic clinical picture of awakening ptosis, additional examinations are not indicated.
可变上睑下垂可能提示严重的神经系统疾病，常被转诊至全科医生、眼科医生和神经科医生处。
两名患者在神经科门诊就诊，其眼睑下垂仅出现在从睡眠中醒来时。无其他神经方面的主诉，神经检查正常。诊断为“觉醒性上睑下垂”。
觉醒性上睑下垂是一种良性但罕见的疾病。确切的病理生理机制尚不清楚。对于具有典型觉醒性上睑下垂临床表现的病例，无需进行额外检查。
