{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T13:15:48Z","timestamp":1777727748452,"version":"3.51.4"},"reference-count":9,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2024,8,1]],"date-time":"2024-08-01T00:00:00Z","timestamp":1722470400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Med Res"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:p>Documented cases of ipsilateral ptosis caused by midbrain infarction remain rare. Herein, we present a patient with isolated ipsilateral ptosis that was initially considered to be a consequence of myasthenia gravis but was subsequently attributed to ventral midbrain infarction. We also discuss the possible underlying mechanisms; ipsilateral ptosis in our patient was attributed to selective damage of the levator palpebral muscle branch of the oculomotor nerve. The patient was started on aspirin (200\u2009mg once daily) and atorvastatin (40\u2009mg once daily). Improvement in ptosis occurred from day 5 of admission, and the patient was subsequently discharged. Ptosis disappeared 1 month after onset. This report describes an extremely rare case of ventral midbrain infarction presenting with isolated ipsilateral ptosis. Careful examination, including magnetic resonance imaging, is essential in such patients, especially in those with multiple cerebrovascular risk factors.<\/jats:p>","DOI":"10.1177\/03000605241260366","type":"journal-article","created":{"date-parts":[[2024,8,1]],"date-time":"2024-08-01T14:12:52Z","timestamp":1722521572000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Isolated ipsilateral ptosis associated with ventral midbrain infarction: a case report and literature review"],"prefix":"10.1177","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8659-8151","authenticated-orcid":false,"given":"Xiao-Feng","family":"Cai","sequence":"first","affiliation":[{"name":"Center for Rehabilitation Medicine, Department of Neurology, Zhejiang Provincial People\u2019s Hospital (Affiliated People\u2019s Hospital), Hangzhou Medical College, Hangzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tian-Ming","family":"Shi","sequence":"additional","affiliation":[{"name":"Center for Rehabilitation Medicine, Department of Neurology, Zhejiang Provincial People\u2019s Hospital (Affiliated People\u2019s Hospital), Hangzhou Medical College, Hangzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qi-Bing","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine-Neurology, Central Hospital of Haining, Jiaxing, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shun-Yuan","family":"Guo","sequence":"additional","affiliation":[{"name":"Center for Rehabilitation Medicine, Department of Neurology, Zhejiang Provincial People\u2019s Hospital (Affiliated People\u2019s Hospital), Hangzhou Medical College, Hangzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,8,1]]},"reference":[{"key":"bibr1-03000605241260366","doi-asserted-by":"publisher","DOI":"10.1212\/01.WNL.0000156520.46056.6B"},{"key":"bibr2-03000605241260366","doi-asserted-by":"publisher","DOI":"10.1111\/head.12246"},{"key":"bibr3-03000605241260366","doi-asserted-by":"publisher","DOI":"10.1007\/s00415-009-5054-1"},{"key":"bibr4-03000605241260366","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afz041"},{"key":"bibr5-03000605241260366","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2017-223750"},{"key":"bibr6-03000605241260366","doi-asserted-by":"publisher","DOI":"10.1001\/archneur.63.5.771"},{"key":"bibr7-03000605241260366","doi-asserted-by":"publisher","DOI":"10.4103\/0028-3886.193780"},{"key":"bibr8-03000605241260366","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000011902"},{"key":"bibr9-03000605241260366","doi-asserted-by":"publisher","DOI":"10.1007\/s12565-009-0043-0"}],"container-title":["Journal of International Medical Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/03000605241260366","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/03000605241260366","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/03000605241260366","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T10:50:16Z","timestamp":1777459816000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/03000605241260366"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8]]},"references-count":9,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2024,8]]}},"alternative-id":["10.1177\/03000605241260366"],"URL":"https:\/\/doi.org\/10.1177\/03000605241260366","relation":{},"ISSN":["0300-0605","1473-2300"],"issn-type":[{"value":"0300-0605","type":"print"},{"value":"1473-2300","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,8]]},"article-number":"03000605241260366"}}