A 59-year-old black female presents to the Emergency Department with a 3-day history of left sided headache and blurry vision. She has a history of thyroid eye disease and hypertension and she smokes 1 pack of cigarettes a day. Her exam seemed normal to the treating physician and she was discharged home. The next day she awoke with complete ptosis of the left upper eyelid. You have to hold her eyelid open with your finger to examine her motility, seen here:

4 comments

Thoughts? Please leave a comment...