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<meta name="keywords" content="C1866806, dropping of one upper eyelid, finding, ptosis, unilateral, unilateral ptosis, autosomal dominant, autosomal recessive, birth defects, chromosomal disease, chromosome, clinical features, clinical findings, clinical genetics, clinical recommendations, clinvar, congenital chromosomal disease, consumer genetic resources, cytogenetic location, disease characteristics, disease definitions, disease descriptions, disease ontology, disease synonyms, disease vocabulary, dysmorphology, entrez, familial disease, gene, gene-disease relationship, genereviews, genetic disease, genetic disorder, genetic terminology, genetic testing registry, genetics home reference, genomic disease, gtr, hereditary disease, heritable disease, hpo, human phenotype ontology, inherited disease, management guidelines, maternal inheritance, medgen, medical genetics, medical subject headings, mesh, mitochondrial inheritance, mode of inheritance, national center for biotechnology information, national institutes of health, national library of medicine, ncbi, nih, nlm, omim, ordo, orphanet, paternal inheritance, phenome, position statements, professional practice guidelines, rare disease, reference sequence, refseq, snomed ct, syndrome, undiagnosed diseases, x-linked recessive" /><meta name="description" content="A unilateral form of ptosis." /><meta name="robots" content="index,nofollow,noarchive" />
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<!--
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UID=401085
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ConceptID=C1866806
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-->
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<!--imgCountBooks = 0--><h1 class="medgenTitle"><div class="MedGenTitleText">Unilateral ptosis</div></h1><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>401085</dd><dt><span class="dotprefix"> •</span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS) Click for more information."><span class="highlight" style="background-color:">C1866806</span></a></dd><dt><span class="dotprefix"> •</span></dt><dd>Finding</dd></dl></div></div><table class="medgenTable"><tbody><tr><td>Synonym:</td>
|
||
<td>Ptosis, unilateral</td></tr>
|
||
<tr><td colspan="2" class="small"> </td></tr><tr><td>HPO:</td>
|
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<td><a target="_blank" title="Human Phenotype Ontology" href="https://hpo.jax.org/app/browse/term/HP:0007687">HP:0007687</a></td></tr>
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<div class="portlet_head mgSectionHead ui-widget-header"><h1 class="nl" id="Definition">Definition</h1><a sid="100" href="#" class="portlet_shutter" title="Show/hide content"></a></div>
|
||
<div class="portlet_content ln">A unilateral form of ptosis. [from <a title="Human Phenotype Ontology" href="http://www.human-phenotype-ontology.org" class="defSource" target="_blank">HPO</a>]</div>
|
||
</div>
|
||
|
||
<div class="portlet mgSection" id="ID_118">
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<div class="portlet_head mgSectionHead ui-widget-header"><h1 class="nl" id="Term_Hierarchy">Term Hierarchy</h1><a sid="118" href="#" class="portlet_shutter" title="Show/hide content"></a></div>
|
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<div class="portlet_content ln HierarchyGTR"><div class="jig-ncbitabs"><ul><li><a href="#tabGTR">GTR</a></li><li><a href="#tabMGEN">MeSH</a></li></ul><div id="tabGTR"><div class="search_result"><div class="rprts"><div class="chiclet_legend"><span class="chiclet_list" style="position:static;"><span title="Clinical test" class="chiclet Ccolor round">C</span><span>Clinical test, </span><span title="Research test" class="chiclet Rcolor round">R</span><span>Research test, </span><span title="OMIM" class="chiclet Ocolor ">O</span><span>OMIM, </span><span title="GeneReview" class="chiclet Gcolor">G</span><span><em>GeneReviews</em>, </span><span title="ClinVar" class="chiclet Vcolor">V</span><span>ClinVar </span></span></div><div id="hierarchy" class="margin_t1"><div class="ds_tree"><ul><li class="matched_ds"><span class="TLline">Unilateral ptosis</span></li></ul></div></div></div></div></div><div id="tabMGEN"><div class="ds_tree"><ul><li><span class="TLline"><a href="/medgen/867443" ref="tree=MeSH" title="MedGen record for Phenotypic abnormality">Phenotypic abnormality</a></span><ul><li><span class="TLline"><a href="/medgen/1370071" ref="tree=MeSH" title="MedGen record for Abnormality of the eye">Abnormality of the eye</a></span><ul><li><span class="TLline"><a href="/medgen/868525" ref="tree=MeSH" title="MedGen record for Abnormal eye physiology">Abnormal eye physiology</a></span><ul><li><span class="TLline"><a href="/medgen/2287" ref="tree=MeSH" title="MedGen record for Ptosis">Ptosis</a></span><ul><li><span class="matched_ds">Unilateral ptosis</span></li></ul></li></ul></li></ul></li></ul></li></ul></div></div></div></div>
|
||
</div>
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||
|
||
<div class="portlet mgSection" id="ID_112">
|
||
<div class="portlet_head mgSectionHead ui-widget-header"><h1 class="nl" id="Conditions_with_this_feature">Conditions with this feature</h1><a sid="112" href="#" class="portlet_shutter" title="Show/hide content"></a></div>
|
||
<div class="portlet_content ln clinfeat">
|
||
<div class="divPopper rprt" id="rdis_120582"><div><strong>Marcus Gunn jaw winking synkinesis</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>120582</dd><dt><span class="dotprefix"> •</span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS) Click for more information.">C0266521</a></dd><dt><span class="dotprefix"> •</span></dt><dd>Disease or Syndrome</dd></dl></div></div></div>
|
||
<div class="spaceAbove">The Marcus Gunn phenomenon consists of unilateral congenital ptosis and rapid exaggerated elevation of the ptotic lid on moving of the lower jaw. Although it usually persists into adult life, the phenomenon is seen in its most marked forms in infancy when the rapid spasmodic movements of the lid are apparent during sucking and thus are noted soon after birth (Doco-Fenzy et al., 2006).</div>
|
||
<div class="spaceAbove nowrap">See: <a href="/medgen/120582">Condition Record</a></div></div>
|
||
<div class="divPopper rprt" id="rdis_338088"><div><strong>Keipert syndrome</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>338088</dd><dt><span class="dotprefix"> •</span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS) Click for more information.">C1850627</a></dd><dt><span class="dotprefix"> •</span></dt><dd>Disease or Syndrome</dd></dl></div></div></div>
|
||
<div class="spaceAbove">Keipert syndrome (KPTS) is characterized by craniofacial and digital abnormalities and variable learning difficulties. The distinctive facial appearance includes broad forehead, hypertelorism, prominent nose, wide mouth, and prominent upper lip with cupid bow configuration. Digital anomalies are also distinctive, with widening of all distal phalanges, particularly of the thumbs and great toes (Amor et al., 2019).</div>
|
||
<div class="spaceAbove nowrap">See: <a href="/medgen/338088">Condition Record</a></div></div>
|
||
<div class="divPopper rprt" id="rdis_355803"><div><strong>Delayed speech-facial asymmetry-strabismus-ear lobe creases syndrome</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>355803</dd><dt><span class="dotprefix"> •</span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS) Click for more information.">C1866802</a></dd><dt><span class="dotprefix"> •</span></dt><dd>Disease or Syndrome</dd></dl></div></div></div>
|
||
<div class="spaceAbove">This syndrome is extremely rare and is characterized by delayed speech development, mild facial asymmetry, strabismus and transverse ear lobe creases.</div>
|
||
<div class="spaceAbove nowrap">See: <a href="/medgen/355803">Condition Record</a></div></div>
|
||
<div class="divPopper rprt" id="rdis_358131"><div><strong>Orofaciodigital syndrome V</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>358131</dd><dt><span class="dotprefix"> •</span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS) Click for more information.">C1868118</a></dd><dt><span class="dotprefix"> •</span></dt><dd>Disease or Syndrome</dd></dl></div></div></div>
|
||
<div class="spaceAbove">Orofaciodigital syndrome V (OFD5) is an autosomal recessive disorder characterized by cleft palate/uvula, lobulated tongue, frontal bossing, hypertelorism, postaxial polydactyly, and impaired intellectual development (summary by Faily et al., 2017).</div>
|
||
<div class="spaceAbove nowrap">See: <a href="/medgen/358131">Condition Record</a></div></div>
|
||
<div class="divPopper rprt" id="rdis_462224"><div><strong>Cranioectodermal dysplasia 2</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>462224</dd><dt><span class="dotprefix"> •</span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS) Click for more information.">C3150874</a></dd><dt><span class="dotprefix"> •</span></dt><dd>Disease or Syndrome</dd></dl></div></div></div>
|
||
<div class="spaceAbove">Cranioectodermal dysplasia (CED) is a ciliopathy with skeletal involvement (narrow thorax, shortened proximal limbs, syndactyly, polydactyly, brachydactyly), ectodermal features (widely spaced hypoplastic teeth, hypodontia, sparse hair, skin laxity, abnormal nails), joint laxity, growth deficiency, and characteristic facial features (frontal bossing, low-set simple ears, high forehead, telecanthus, epicanthal folds, full cheeks, everted lower lip). Most affected children develop nephronophthisis that often leads to end-stage kidney disease in infancy or childhood, a major cause of morbidity and mortality. Hepatic fibrosis and retinal dystrophy are also observed. Dolichocephaly, often secondary to sagittal craniosynostosis, is a primary manifestation that distinguishes CED from most other ciliopathies. Brain malformations and developmental delay may also occur.</div>
|
||
<div class="spaceAbove nowrap">See: <a href="/medgen/462224">Condition Record</a></div></div>
|
||
<div class="divPopper rprt" id="rdis_766539"><div><strong>Facial paresis, hereditary congenital, 3</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>766539</dd><dt><span class="dotprefix"> •</span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS) Click for more information.">C3553625</a></dd><dt><span class="dotprefix"> •</span></dt><dd>Disease or Syndrome</dd></dl></div></div></div>
|
||
<div class="spaceAbove">HCFP3 is an autosomal recessive congenital cranial dysinnervation disorder characterized by isolated dysfunction of the seventh cranial nerve resulting in facial palsy. Additional features may include orofacial anomalies, such as smooth philtrum, lagophthalmos, swallowing difficulties, and dysarthria, as well as hearing loss. There is some phenotypic overlap with Moebius syndrome (see, e.g., 157900), but patients with HCFP usually retain full eye motility or have esotropia without paralysis of the sixth cranial nerve (summary by Vogel et al., 2016). For a phenotypic description and a discussion of genetic heterogeneity of hereditary congenital facial paresis, see 601471.</div>
|
||
<div class="spaceAbove nowrap">See: <a href="/medgen/766539">Condition Record</a></div></div>
|
||
<div class="divPopper rprt" id="rdis_855517"><div><strong>Intellectual disability, X-linked 101</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>855517</dd><dt><span class="dotprefix"> •</span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS) Click for more information.">C3890168</a></dd><dt><span class="dotprefix"> •</span></dt><dd>Disease or Syndrome</dd></dl></div></div></div>
|
||
<div class="spaceAbove">Any non-syndromic X-linked intellectual disability in which the cause of the disease is a mutation in the MID2 gene.</div>
|
||
<div class="spaceAbove nowrap">See: <a href="/medgen/855517">Condition Record</a></div></div>
|
||
<div class="divPopper rprt" id="rdis_1708832"><div><strong>Developmental and epileptic encephalopathy, 85, with or without midline brain defects</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>1708832</dd><dt><span class="dotprefix"> •</span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS) Click for more information.">C5393312</a></dd><dt><span class="dotprefix"> •</span></dt><dd>Disease or Syndrome</dd></dl></div></div></div>
|
||
<div class="spaceAbove">Developmental and epileptic encephalopathy-85 with or without midline brain defects (DEE85) is an X-linked neurologic disorder characterized by onset of severe refractory seizures in the first year of life, global developmental delay with impaired intellectual development and poor or absent speech, and dysmorphic facial features. The seizures tend to show a cyclic pattern with clustering. Many patients have midline brain defects on brain imaging, including thin corpus callosum and/or variable forms of holoprosencephaly (HPE). The severity and clinical manifestations are variable. Almost all reported patients are females with de novo mutations predicted to result in a loss of function (LOF). However, some patients may show skewed X inactivation, and the pathogenic mechanism may be due to a dominant-negative effect. The SMC1A protein is part of the multiprotein cohesin complex involved in chromatid cohesion during DNA replication and transcriptional regulation; DEE85 can thus be classified as a 'cohesinopathy' (summary by Symonds et al., 2017 and Kruszka et al., 2019). For a general phenotypic description and a discussion of genetic heterogeneity of DEE, see 308350.</div>
|
||
<div class="spaceAbove nowrap">See: <a href="/medgen/1708832">Condition Record</a></div></div>
|
||
<div class="divPopper rprt" id="rdis_1715748"><div><strong>Nizon-Isidor syndrome</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>1715748</dd><dt><span class="dotprefix"> •</span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS) Click for more information.">C5394350</a></dd><dt><span class="dotprefix"> •</span></dt><dd>Disease or Syndrome</dd></dl></div></div></div>
|
||
<div class="spaceAbove">Nizon-Isidor syndrome (NIZIDS) is a neurodevelopmental disorder characterized by global developmental delay, mildly delayed walking, poor speech and language, variably impaired intellectual development, and behavioral abnormalities, such as autistic features or attention deficit-hyperactivity disorder (ADHD). Some patients may have additional features, including nonspecific facial dysmorphism, gastrointestinal difficulties, distal hand anomalies, and thin corpus callosum on brain imaging (summary by Nizon et al., 2019).</div>
|
||
<div class="spaceAbove nowrap">See: <a href="/medgen/1715748">Condition Record</a></div></div>
|
||
<div class="divPopper rprt" id="rdis_1779113"><div><strong>Oculogastrointestinal-neurodevelopmental syndrome</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>1779113</dd><dt><span class="dotprefix"> •</span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS) Click for more information.">C5543355</a></dd><dt><span class="dotprefix"> •</span></dt><dd>Disease or Syndrome</dd></dl></div></div></div>
|
||
<div class="spaceAbove">Oculogastrointestinal neurodevelopmental syndrome (OGIN) is characterized by microphthalmia and/or coloboma in association with other congenital anomalies, including imperforate anus, horseshoe kidney, and structural cardiac defects. Hearing loss and severe developmental delay are also observed in most patients (Zha et al., 2020; Mor-Shaked et al., 2021).</div>
|
||
<div class="spaceAbove nowrap">See: <a href="/medgen/1779113">Condition Record</a></div></div>
|
||
<div class="divPopper rprt" id="rdis_1794275"><div><strong>Ferguson-Bonni neurodevelopmental syndrome</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>1794275</dd><dt><span class="dotprefix"> •</span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS) Click for more information.">C5562065</a></dd><dt><span class="dotprefix"> •</span></dt><dd>Disease or Syndrome</dd></dl></div></div></div>
|
||
<div class="spaceAbove">Ferguson-Bonni neurodevelopmental syndrome (FERBON) is an autosomal recessive disorder characterized by global developmental delay, impaired intellectual development, and hypotonia with early motor delay. Additional features may include dysmorphic facies, mild skeletal abnormalities, and hearing loss (summary by Ferguson et al., 2022).</div>
|
||
<div class="spaceAbove nowrap">See: <a href="/medgen/1794275">Condition Record</a></div></div>
|
||
<div class="divPopper rprt" id="rdis_1824003"><div><strong>Diamond-Blackfan anemia 21</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>1824003</dd><dt><span class="dotprefix"> •</span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS) Click for more information.">C5774230</a></dd><dt><span class="dotprefix"> •</span></dt><dd>Disease or Syndrome</dd></dl></div></div></div>
|
||
<div class="spaceAbove">Diamond-Blackfan anemia-21 (DBA21) is an autosomal recessive bone marrow failure syndrome that includes selective erythroid hypoplasia, anemia with transient thrombocytopenia, short stature, facial dysmorphism, limb abnormalities, cardiac defects, and intellectual disability (O'Donohue et al., 2022). For a general phenotypic description and discussion of genetic heterogeneity of Diamond-Blackfan anemia, see DBA1 (105650).</div>
|
||
<div class="spaceAbove nowrap">See: <a href="/medgen/1824003">Condition Record</a></div></div>
|
||
<div class="hangingIndent"><a title="click for more information" class="jig-ncbipopper" href="#rdis_462224" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Cranioectodermal dysplasia 2</a></div>
|
||
<div class="hangingIndent"><a title="click for more information" class="jig-ncbipopper" href="#rdis_355803" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Delayed speech-facial asymmetry-strabismus-ear lobe creases syndrome</a></div>
|
||
<div class="hangingIndent"><a title="click for more information" class="jig-ncbipopper" href="#rdis_1708832" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Developmental and epileptic encephalopathy, 85, with or without midline brain defects</a></div>
|
||
<div class="hangingIndent"><a title="click for more information" class="jig-ncbipopper" href="#rdis_1824003" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Diamond-Blackfan anemia 21</a></div>
|
||
<div class="hangingIndent"><a title="click for more information" class="jig-ncbipopper" href="#rdis_766539" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Facial paresis, hereditary congenital, 3</a></div><div class="jig-moreless" data-jigconfig="class: 'moveDown', moreText: 'See full list (12)', lessText: 'Show less', nodeBefore: 0"><span id="clinMore">
|
||
<div class="hangingIndent"><a title="click for more information" class="jig-ncbipopper" href="#rdis_1794275" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Ferguson-Bonni neurodevelopmental syndrome</a></div>
|
||
<div class="hangingIndent"><a title="click for more information" class="jig-ncbipopper" href="#rdis_855517" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Intellectual disability, X-linked 101</a></div>
|
||
<div class="hangingIndent"><a title="click for more information" class="jig-ncbipopper" href="#rdis_338088" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Keipert syndrome</a></div>
|
||
<div class="hangingIndent"><a title="click for more information" class="jig-ncbipopper" href="#rdis_120582" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Marcus Gunn jaw winking synkinesis</a></div>
|
||
<div class="hangingIndent"><a title="click for more information" class="jig-ncbipopper" href="#rdis_1715748" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Nizon-Isidor syndrome</a></div>
|
||
<div class="hangingIndent"><a title="click for more information" class="jig-ncbipopper" href="#rdis_1779113" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Oculogastrointestinal-neurodevelopmental syndrome</a></div>
|
||
<div class="hangingIndent"><a title="click for more information" class="jig-ncbipopper" href="#rdis_358131" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Orofaciodigital syndrome V</a></div></span></div></div>
|
||
</div>
|
||
|
||
<div class="portlet mgSection" id="ID_105">
|
||
<div class="portlet_head mgSectionHead ui-widget-header"><h1 class="nl" id="Professional_guidelines">Professional guidelines</h1><a sid="105" href="#" class="portlet_shutter" title="Show/hide content"></a></div>
|
||
<div class="portlet_content ln"><h3 class="subhead">PubMed<a class="help jig-ncbi-popper" data-jig="ncbipopper" href="#guidelinesHelpPM"><img class="pulldown" src="//static.pubmed.gov/portal/portal3rc.fcgi/4223267/img/4204968" /></a></h3>
|
||
<div class="nl"><a target="_blank" href="/pubmed/16170126">Ocular motor dysfunction and ptosis in ocular myasthenia gravis: effects of treatment.</a></div>
|
||
<div class="portlet_content ln"><span class="medgenPMauthor">Kupersmith MJ,
|
||
Ying G</span><br />
|
||
<span class="medgenPMjournal">Br J Ophthalmol</span>
|
||
2005 Oct;89(10):1330-4.
|
||
doi: 10.1136/bjo.2004.063404.
|
||
<span class="bold">PMID: </span><a href="/pubmed/16170126" target="_blank">16170126</a><a href="/pmc/articles/PMC1772854" target="_blank" class="PubMedFree">Free PMC Article</a></div>
|
||
<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=(%22unilateral%20ptosis%22%5Btiab%3A~0%5D)%20AND%20(%22english%20and%20humans%22%5BFilter%5D)%20AND%20(%20(%22practice%20guideline%22%5BFilter%5D)%20OR%20(practice*%5Btitl%5D%20AND%20(guideline%5Btitl%5D%20OR%20parameter%5Btitl%5D%20OR%20resource%5Btitl%5D%20OR%20bulletin%5Btitl%5D%20OR%20best%5Btitl%5D))%20OR%20(genetic*%5Btitl%5D%20AND%20(evaluation%5Btitl%5D%20OR%20counseling%5Btitl%5D%20OR%20screening%5Btitl%5D%20OR%20test*%5Btitl%5D))%20OR%20(clinical%5Btitl%5D%20AND%20((expert%5Btitl%5D%20AND%20consensus%5Btitl%5D)%20OR%20utility%5Btitl%5D%20OR%20guideline*%5Btitl%5D))%20OR%20(management%5Btitl%5D%20AND%20(clinical%5Btitl%5D%20OR%20diagnos*%5Btitl%5D%20OR%20recommendation%5Btitl%5D%20OR%20pain%5Btitl%5D%20OR%20surveillance%5Btitl%5D%20OR%20emergency%5Btitl%5D%20OR%20guideline*%5Btitl%5D%20OR%20therap*))%20OR%20(treatment%5Btitl%5D%20AND%20((evaluation%5Btitl%5D%20AND%20diagnosis%5Btitl%5D)%20OR%20(assessment%5Btitl%5D%20AND%20prevention%5Btitl%5D)%20OR%20therap*))%20OR%20(Diagnos*%5Btitl%5D%20AND%20(prenatal%5Btitl%5D%20OR%20treatment%5Btitl%5D%20OR%20follow-up%5Btitl%5D%20OR%20statement%5Btitl%5D%20OR%20criteria%5Btitl%5D%20OR%20newborn%5Btitl%5D%20OR%20differential%5Btitl%5D%20OR%20neonatal%5Btitl%5D%20OR%20neonate%5Btitl%5D))%20OR%20(guideline*%5Btitl%5D%20AND%20(pharmacogenetic*%5Btitl%5D%20OR%20recommendation%5Btitl%5D%20OR%20therap*%5Btitl%5D%20OR%20evidence-based%5Btitl%5D%20OR%20consensus%5Btitl%5D%20OR%20(technical%5Btitl%5D%20AND%20standard*%5Btitl%5D)%20OR%20(molecular%5Btitl%5D%20AND%20testing%5Btitl%5D)))%20OR%20(risk%5Btitl%5D%20AND%20assessment%5Btitl%5D)%20OR%20(recommendation*%5Btitl%5D%20AND%20(statement%5Btitl%5D%20OR%20Evidence-based%5Btitl%5D%20OR%20Consensus%5Btitl%5D))%20OR%20(care%20AND%20((Patient%5Btitl%5D%20AND%20standard*%5Btitl%5D)%20OR%20primary%5Btitl%5D%20OR%20psychosocial%5Btitl%5D))%20OR%20(Health%5Btitl%5D%20AND%20supervision%5Btitl%5D)%20OR%20(statement%5Btitl%5D%20AND%20(policy%5Btitl%5D%20OR%20position%5Btitl%5D%20OR%20Consensus%5Btitl%5D))%20OR%20(pharmacogenetics%5Btitl%5D%20AND%20(Dosing%5Btitl%5D%20OR%20therap*%5Btitl%5D%20OR%20genotype*%5Btitl%5D%20OR%20drug*%5Btitl%5D))%20OR%20(Chemotherapy%5Btitl%5D%20AND%20decision*%5Btitl%5D)%20OR%20(screening%5Btitl%5D%20AND%20(newborn%5Btitl%5D%20OR%20neonat*%5Btitl%5D%20OR%20detection%5Btitl%5D%20OR%20diagnos*%5Btitl%5D))%20OR%20(criteria%5Btitl%5D%20OR%20genotype*%5Btitl%5D)%20)%20NOT%20(%22Case%20reports%22%5BPublication%20type%5D%20OR%20%22clinical%20study%22%5BPublication%20Type%5D%20OR%20%22randomized%20controlled%20trial%22%5BPublication%20Type%5D)" title="PubMed search">See all (1)</a></div></div>
|
||
</div>
|
||
<div class="display-none help-popup" id="guidelinesHelpPM">These guidelines are articles in PubMed that match specific search criteria developed by MedGen to capture the most relevant practice guidelines. This list may not be comprehensive and may include broader topics as well. See the <a href="/medgen/docs/faq/" title="Frequently asked questions" target="_blank">FAQ</a> for details.</div><div class="display-none help-popup" id="guidelinesHelpCurated">These guidelines are manually curated by the MedGen team
|
||
to supplement articles available in PubMed. See the <a href="/medgen/docs/faq/" title="Frequently asked questions" target="_blank">FAQ</a> for details.</div>
|
||
<div class="portlet mgSection" id="ID_103">
|
||
<div class="portlet_head mgSectionHead ui-widget-header"><h1 class="nl" id="Recent_clinical_studies">Recent clinical studies</h1><a sid="103" href="#" class="portlet_shutter" title="Show/hide content"></a></div>
|
||
<div class="portlet_content ln"><h3 class="subhead">Etiology</h3>
|
||
<div class="nl"><a target="_blank" href="/pubmed/36112219">Effect of external eyelid weighting on eyelid and eyebrow position in normal and ptosis patients.</a></div>
|
||
<div class="portlet_content ln"><span class="medgenPMauthor">Manta AI,
|
||
Jackson NJ,
|
||
Dan J,
|
||
Tran A,
|
||
Rootman DB</span><br />
|
||
<span class="medgenPMjournal">Graefes Arch Clin Exp Ophthalmol</span>
|
||
2023 Mar;261(3):849-855.
|
||
Epub 2022 Sep 16
|
||
doi: 10.1007/s00417-022-05825-0.
|
||
<span class="bold">PMID: </span><a href="/pubmed/36112219" target="_blank">36112219</a></div>
|
||
|
||
<div class="nl"><a target="_blank" href="/pubmed/35686323">Low probability of myasthenia Gravis in patients presenting to neuro-ophthalmology clinic for evaluation of isolated ptosis.</a></div>
|
||
<div class="portlet_content ln"><span class="medgenPMauthor">Donaldson L,
|
||
Issa M,
|
||
Dezard V,
|
||
Margolin E</span><br />
|
||
<span class="medgenPMjournal">Eur J Ophthalmol</span>
|
||
2023 Jan;33(1):524-529.
|
||
Epub 2022 Jun 9
|
||
doi: 10.1177/11206721221107300.
|
||
<span class="bold">PMID: </span><a href="/pubmed/35686323" target="_blank">35686323</a><a href="/pmc/articles/PMC9834322" target="_blank" class="PubMedFree">Free PMC Article</a></div>
|
||
|
||
<div class="nl"><a target="_blank" href="/pubmed/33174155">Incidence of Horner syndrome associated with neuroblastic disease.</a></div>
|
||
<div class="portlet_content ln"><span class="medgenPMauthor">Kuchalska K,
|
||
Barełkowska M,
|
||
Derwich K,
|
||
Jończyk-Potoczna K,
|
||
Gotz-Więckowska A</span><br />
|
||
<span class="medgenPMjournal">Childs Nerv Syst</span>
|
||
2021 Apr;37(4):1243-1247.
|
||
Epub 2020 Nov 10
|
||
doi: 10.1007/s00381-020-04966-z.
|
||
<span class="bold">PMID: </span><a href="/pubmed/33174155" target="_blank">33174155</a><a href="/pmc/articles/PMC8009793" target="_blank" class="PubMedFree">Free PMC Article</a></div>
|
||
|
||
<div class="nl"><a target="_blank" href="/pubmed/31044224">Isolated complete unilateral ptosis with intact extraocular eye movements.</a></div>
|
||
<div class="portlet_content ln"><span class="medgenPMauthor">Cheong CY,
|
||
Aung TH,
|
||
Pang WY,
|
||
Ng CJ,
|
||
Yap P</span><br />
|
||
<span class="medgenPMjournal">Age Ageing</span>
|
||
2019 Jul 1;48(4):596-597.
|
||
doi: 10.1093/ageing/afz041.
|
||
<span class="bold">PMID: </span><a href="/pubmed/31044224" target="_blank">31044224</a></div>
|
||
|
||
<div class="nl"><a target="_blank" href="/pubmed/20417797">Pituitary apoplexy after cardiac surgery.</a></div>
|
||
<div class="portlet_content ln"><span class="medgenPMauthor">Hidiroglu M,
|
||
Kucuker A,
|
||
Ucaroglu E,
|
||
Kucuker SA,
|
||
Sener E</span><br />
|
||
<span class="medgenPMjournal">Ann Thorac Surg</span>
|
||
2010 May;89(5):1635-7.
|
||
doi: 10.1016/j.athoracsur.2009.09.038.
|
||
<span class="bold">PMID: </span><a href="/pubmed/20417797" target="_blank">20417797</a></div>
|
||
<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=%22Unilateral%20ptosis%22%20AND%20Etiology%2Fbroad%5Bfilter%5D%20%20AND%20%22english%20and%20humans%22%5Bfilter%5D%20NOT%20comment%5BPTYP%5D%20NOT%20letter%5BPTYP%5D" title="PubMed search">See all (57)</a></div><h3 class="subhead">Diagnosis</h3>
|
||
<div class="nl"><a target="_blank" href="/pubmed/35234676">Intermittent and Isolated Unilateral Ptosis Due to Neurovascular Conflict.</a></div>
|
||
<div class="portlet_content ln"><span class="medgenPMauthor">Igreja L,
|
||
Ramos C,
|
||
Santos E</span><br />
|
||
<span class="medgenPMjournal">J Neuroophthalmol</span>
|
||
2023 Dec 1;43(4):e302-e303.
|
||
Epub 2022 Feb 25
|
||
doi: 10.1097/WNO.0000000000001490.
|
||
<span class="bold">PMID: </span><a href="/pubmed/35234676" target="_blank">35234676</a></div>
|
||
|
||
<div class="nl"><a target="_blank" href="/pubmed/35323852">Progressively Worsening Unilateral Ptosis in a Woman in Her 60s.</a></div>
|
||
<div class="portlet_content ln"><span class="medgenPMauthor">Kim JS,
|
||
Trobe JD,
|
||
Joseph SS</span><br />
|
||
<span class="medgenPMjournal">JAMA Ophthalmol</span>
|
||
2022 Jun 1;140(6):644-645.
|
||
doi: 10.1001/jamaophthalmol.2021.5716.
|
||
<span class="bold">PMID: </span><a href="/pubmed/35323852" target="_blank">35323852</a></div>
|
||
|
||
<div class="nl"><a target="_blank" href="/pubmed/33174155">Incidence of Horner syndrome associated with neuroblastic disease.</a></div>
|
||
<div class="portlet_content ln"><span class="medgenPMauthor">Kuchalska K,
|
||
Barełkowska M,
|
||
Derwich K,
|
||
Jończyk-Potoczna K,
|
||
Gotz-Więckowska A</span><br />
|
||
<span class="medgenPMjournal">Childs Nerv Syst</span>
|
||
2021 Apr;37(4):1243-1247.
|
||
Epub 2020 Nov 10
|
||
doi: 10.1007/s00381-020-04966-z.
|
||
<span class="bold">PMID: </span><a href="/pubmed/33174155" target="_blank">33174155</a><a href="/pmc/articles/PMC8009793" target="_blank" class="PubMedFree">Free PMC Article</a></div>
|
||
|
||
<div class="nl"><a target="_blank" href="/pubmed/27091291">Unilateral tarsal amyloidosis.</a></div>
|
||
<div class="portlet_content ln"><span class="medgenPMauthor">García de Oteyza G,
|
||
de la Paz M,
|
||
Charoenrook de la Fuente V</span><br />
|
||
<span class="medgenPMjournal">Arch Soc Esp Oftalmol</span>
|
||
2016 Nov;91(11):556-558.
|
||
Epub 2016 Apr 14
|
||
doi: 10.1016/j.oftal.2016.03.008.
|
||
<span class="bold">PMID: </span><a href="/pubmed/27091291" target="_blank">27091291</a></div>
|
||
|
||
<div class="nl"><a target="_blank" href="/pubmed/26282241">Unilateral Ptosis.</a></div>
|
||
<div class="portlet_content ln"><span class="medgenPMauthor">Patel R,
|
||
Harper-Shankie M,
|
||
Patel E,
|
||
Sivaswamy L</span><br />
|
||
<span class="medgenPMjournal">J Pediatr</span>
|
||
2015 Nov;167(5):1160-60.e1.
|
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Epub 2015 Aug 15
|
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doi: 10.1016/j.jpeds.2015.07.022.
|
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<span class="bold">PMID: </span><a href="/pubmed/26282241" target="_blank">26282241</a></div>
|
||
<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=%22Unilateral%20ptosis%22%20AND%20Diagnosis%2Fbroad%5Bfilter%5D%20%20AND%20%22english%20and%20humans%22%5Bfilter%5D%20NOT%20comment%5BPTYP%5D%20NOT%20letter%5BPTYP%5D" title="PubMed search">See all (83)</a></div><h3 class="subhead">Therapy</h3>
|
||
<div class="nl"><a target="_blank" href="/pubmed/36112219">Effect of external eyelid weighting on eyelid and eyebrow position in normal and ptosis patients.</a></div>
|
||
<div class="portlet_content ln"><span class="medgenPMauthor">Manta AI,
|
||
Jackson NJ,
|
||
Dan J,
|
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Tran A,
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Rootman DB</span><br />
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<span class="medgenPMjournal">Graefes Arch Clin Exp Ophthalmol</span>
|
||
2023 Mar;261(3):849-855.
|
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Epub 2022 Sep 16
|
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doi: 10.1007/s00417-022-05825-0.
|
||
<span class="bold">PMID: </span><a href="/pubmed/36112219" target="_blank">36112219</a></div>
|
||
|
||
<div class="nl"><a target="_blank" href="/pubmed/33079763">Unilateral Ptosis, Proptosis, and Orbital Myositis After Shingles Vaccination.</a></div>
|
||
<div class="portlet_content ln"><span class="medgenPMauthor">Chon BH,
|
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Hwang CJ,
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Perry JD</span><br />
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<span class="medgenPMjournal">Ophthalmic Plast Reconstr Surg</span>
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2021 May-Jun 01;37(3):e100-e103.
|
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doi: 10.1097/IOP.0000000000001847.
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<span class="bold">PMID: </span><a href="/pubmed/33079763" target="_blank">33079763</a></div>
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<div class="nl"><a target="_blank" href="/pubmed/22696700">Vincristine-induced unilateral ptosis with serendipitous response to modafinil.</a></div>
|
||
<div class="portlet_content ln"><span class="medgenPMauthor">Revannasiddaiah S,
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Bhattacharyya T</span><br />
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2011 May 3;2011
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<span class="bold">PMID: </span><a href="/pubmed/22696700" target="_blank">22696700</a><a href="/pmc/articles/PMC3089848" target="_blank" class="PubMedFree">Free PMC Article</a></div>
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<div class="nl"><a target="_blank" href="/pubmed/20417797">Pituitary apoplexy after cardiac surgery.</a></div>
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Ucaroglu E,
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<span class="bold">PMID: </span><a href="/pubmed/20417797" target="_blank">20417797</a></div>
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<div class="nl"><a target="_blank" href="/pubmed/9763140">Unilateral eyelid ptosis and a red eye.</a></div>
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<div class="portlet_content ln"><span class="medgenPMauthor">Patel NP,
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Savino PJ,
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<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=%22Unilateral%20ptosis%22%20AND%20Therapy%2Fbroad%5Bfilter%5D%20%20AND%20%22english%20and%20humans%22%5Bfilter%5D%20NOT%20comment%5BPTYP%5D%20NOT%20letter%5BPTYP%5D" title="PubMed search">See all (37)</a></div><h3 class="subhead">Prognosis</h3>
|
||
<div class="nl"><a target="_blank" href="/pubmed/33174155">Incidence of Horner syndrome associated with neuroblastic disease.</a></div>
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||
<div class="portlet_content ln"><span class="medgenPMauthor">Kuchalska K,
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Barełkowska M,
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Derwich K,
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Jończyk-Potoczna K,
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Gotz-Więckowska A</span><br />
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2021 Apr;37(4):1243-1247.
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Epub 2020 Nov 10
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<span class="bold">PMID: </span><a href="/pubmed/33174155" target="_blank">33174155</a><a href="/pmc/articles/PMC8009793" target="_blank" class="PubMedFree">Free PMC Article</a></div>
|
||
|
||
<div class="nl"><a target="_blank" href="/pubmed/31879056">Gone in the blink of an eye - A Tolosa-Hunt syndrome variant.</a></div>
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<div class="portlet_content ln"><span class="medgenPMauthor">Dholoo F,
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Shabana A,
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Paschali M,
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<span class="bold">PMID: </span><a href="/pubmed/31879056" target="_blank">31879056</a></div>
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<div class="nl"><a target="_blank" href="/pubmed/26818319">Maximizing Symmetry in Upper Blepharoplasty: The Role of Microptosis Surgery.</a></div>
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<div class="portlet_content ln"><span class="medgenPMauthor">Lew H,
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Goldberg RA</span><br />
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2016 Feb;137(2):296e-304e.
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doi: 10.1097/01.prs.0000475751.48462.b7.
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<span class="bold">PMID: </span><a href="/pubmed/26818319" target="_blank">26818319</a></div>
|
||
|
||
<div class="nl"><a target="_blank" href="/pubmed/22187989">Case records of the Massachusetts General Hospital. Case 39-2011. A woman in her 90s with unilateral ptosis.</a></div>
|
||
<div class="portlet_content ln"><span class="medgenPMauthor">Venna N,
|
||
Gonzalez RG,
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Zukerberg LR</span><br />
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<span class="medgenPMjournal">N Engl J Med</span>
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2011 Dec 22;365(25):2413-22.
|
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doi: 10.1056/NEJMcpc1110048.
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||
<span class="bold">PMID: </span><a href="/pubmed/22187989" target="_blank">22187989</a></div>
|
||
|
||
<div class="nl"><a target="_blank" href="/pubmed/20417797">Pituitary apoplexy after cardiac surgery.</a></div>
|
||
<div class="portlet_content ln"><span class="medgenPMauthor">Hidiroglu M,
|
||
Kucuker A,
|
||
Ucaroglu E,
|
||
Kucuker SA,
|
||
Sener E</span><br />
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||
<span class="medgenPMjournal">Ann Thorac Surg</span>
|
||
2010 May;89(5):1635-7.
|
||
doi: 10.1016/j.athoracsur.2009.09.038.
|
||
<span class="bold">PMID: </span><a href="/pubmed/20417797" target="_blank">20417797</a></div>
|
||
<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=%22Unilateral%20ptosis%22%20AND%20Prognosis%2Fbroad%5Bfilter%5D%20%20AND%20%22english%20and%20humans%22%5Bfilter%5D%20NOT%20comment%5BPTYP%5D%20NOT%20letter%5BPTYP%5D" title="PubMed search">See all (36)</a></div><h3 class="subhead">Clinical prediction guides</h3>
|
||
<div class="nl"><a target="_blank" href="/pubmed/36112219">Effect of external eyelid weighting on eyelid and eyebrow position in normal and ptosis patients.</a></div>
|
||
<div class="portlet_content ln"><span class="medgenPMauthor">Manta AI,
|
||
Jackson NJ,
|
||
Dan J,
|
||
Tran A,
|
||
Rootman DB</span><br />
|
||
<span class="medgenPMjournal">Graefes Arch Clin Exp Ophthalmol</span>
|
||
2023 Mar;261(3):849-855.
|
||
Epub 2022 Sep 16
|
||
doi: 10.1007/s00417-022-05825-0.
|
||
<span class="bold">PMID: </span><a href="/pubmed/36112219" target="_blank">36112219</a></div>
|
||
|
||
<div class="nl"><a target="_blank" href="/pubmed/35935082">Unilateral advanced glaucoma in isolated congenital ectropion uveae with ipsilateral ptosis: A pictorial description of five children.</a></div>
|
||
<div class="portlet_content ln"><span class="medgenPMauthor">Snehi S,
|
||
Kaur M,
|
||
Singh AK,
|
||
Thattarattody F,
|
||
Raj S,
|
||
Pandav SS,
|
||
Kaushik S</span><br />
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||
<span class="medgenPMjournal">Rom J Ophthalmol</span>
|
||
2022 Apr-Jun;66(2):125-131.
|
||
doi: 10.22336/rjo.2022.25.
|
||
<span class="bold">PMID: </span><a href="/pubmed/35935082" target="_blank">35935082</a><a href="/pmc/articles/PMC9289761" target="_blank" class="PubMedFree">Free PMC Article</a></div>
|
||
|
||
<div class="nl"><a target="_blank" href="/pubmed/25474275">Tear condition following unilateral ptosis surgery.</a></div>
|
||
<div class="portlet_content ln"><span class="medgenPMauthor">Bagheri A,
|
||
Najmi H,
|
||
Salim RE,
|
||
Yazdani S</span><br />
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||
<span class="medgenPMjournal">Orbit</span>
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||
2015 Apr;34(2):66-71.
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||
Epub 2014 Dec 4
|
||
doi: 10.3109/01676830.2014.982766.
|
||
<span class="bold">PMID: </span><a href="/pubmed/25474275" target="_blank">25474275</a></div>
|
||
|
||
<div class="nl"><a target="_blank" href="/pubmed/16770809">Non-random associations and vascular fields in neurofibromatosis 1: a pathogenetic hypothesis.</a></div>
|
||
<div class="portlet_content ln"><span class="medgenPMauthor">Lubinsky MS</span><br />
|
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<span class="medgenPMjournal">Am J Med Genet A</span>
|
||
2006 Oct 1;140(19):2080-4.
|
||
doi: 10.1002/ajmg.a.31303.
|
||
<span class="bold">PMID: </span><a href="/pubmed/16770809" target="_blank">16770809</a></div>
|
||
|
||
<div class="nl"><a target="_blank" href="/pubmed/7170267">Ptosis in systemic lupus erythematosus.</a></div>
|
||
<div class="portlet_content ln"><span class="medgenPMauthor">Lanham JG,
|
||
Elkon KB,
|
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Hughes GR</span><br />
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<span class="medgenPMjournal">Postgrad Med J</span>
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1982 Nov;58(685):688-9.
|
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||
<span class="bold">PMID: </span><a href="/pubmed/7170267" target="_blank">7170267</a><a href="/pmc/articles/PMC2426575" target="_blank" class="PubMedFree">Free PMC Article</a></div>
|
||
<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=%22Unilateral%20ptosis%22%20AND%20Clinical%20prediction%20guides%2Fbroad%5Bfilter%5D%20%20AND%20%22english%20and%20humans%22%5Bfilter%5D%20NOT%20comment%5BPTYP%5D%20NOT%20letter%5BPTYP%5D" title="PubMed search">See all (33)</a></div></div>
|
||
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|
||
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<h2 class="offscreen_noflow">Supplemental Content</h2>
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<div class="portlet_content ln"><ul><li><a href="https://clinicaltrials.gov/search?cond=Unilateral%20ptosis" target="_blank">ClinicalTrials.gov</a></li></ul></div>
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<a class="text-white" href="https://www.nih.gov/">NIH</a>
|
||
</li>
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||
<li>
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||
<a class="text-white" href="https://www.hhs.gov/">HHS</a>
|
||
</li>
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||
<li>
|
||
<a class="text-white" href="https://www.usa.gov/">USA.gov</a>
|
||
</li>
|
||
</ul>
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||
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