Hydrocephalus due to aqueductal stenosis presenting with acute bilateral ptosis: case report

Abstract

Hydrocephalus may cause Parinaud’s syndrome which consists of vertical gaze palsy, convergence palsy, lid retraction and pupil light-near dissociation. We are aware of only two prior reports of hydrocephalus presenting with bilateral ptosis. Both were cured by ventriculoperitoneal shunts. We report a 28-month-old girl who presented acute bilateral ptosis but full eye movements both sides. Neuroimages revealed chronic hydrocephalus and aqueductal stenosis. The bilateral ptosis resolved quickly after endoscopic third ventriculostomy (ETV).

Keywords:

• Hydrocephalus
• endoscopy treatment
• Sylvian aqueduct
• third ventriculostomy

Disclosure statement

No potential conflict of interest was reported by the authors.

Additional information

Funding

This work was supported by Research Foundation of Capital Institute of Pediatrics.