case_images: PMC9417297_01
case_images: Clinical signs of the patient (A) Left blepharoptosis, crusted erythema on the left side of the face, upper eyelid, and nasal tip. (B) Right eye: normal pupil, PLR++ (C) Left eye: limited adduction dilated pupil, PLR+.
case_images: IDR-15-4759-g0001.jpg
case_images: PMC9417297_01_IDR-15-4759-g0001.jpg
case_images: f0001
case_images: Physical examination revealed left-sided blepharoptosis, crusted erythema on the left side of his face, left upper eyelid, and nasal tip (Figure 1A). His left pupil was dilated (4mm vs 2mm for the right) and both the direct and indirect Pupillary light reactions (PLR) were absent, with an ocular movement disorder (limited adduction) and diplopia, all of which indicated complete injury of the left oculomotor nerve (Figure 1B and C).