|
|
 |
2004 Series : February 3, 2004
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
This 4-year-old boy has been noted by his parents to have a droopy right lid since birth. In addition, they noted as an infant his right upper lid "bounced" up and down when he fed from a bottle and the lid continues to act in this manner when he chews. The boy is healthy and has no known blood relatives with any sort of ptosis. |
| 1. |
The most likely diagnosis is: |
| |
a. congenital ptosis, right upper lid b. Marcus-Gunn jaw winking c. Horner's syndrome d. misdirection of the third nerve
|
| 2. |
The cause of this condition is: |
| |
a. misdirection of the VII cranial nerve
b. misdirection of the levator aponeurosis
c. clinically unknown
d. misdirection of the V nerve to supply the levator muscle |
| 3. |
Treatment of this condition depends on all but one of the following: |
| |
a. the patient's symptoms b. function of the levator c. strength of the internal pterygoid muscle d. amount of ptosis |
For answers to the above, click here:
|