case_images: PMC8683484_01
case_images: bilateral ptosis
case_images: PAMJ-40-154-g001.jpg
case_images: PMC8683484_01_PAMJ-40-154-g001.jpg
case_images: F1
case_images: Clinical findings: the clinical assessment found a bilateral ptosis (Figure 1), normal cardiac auscultation, and normal neurological assessment.
case_images: electrocardiogram of complete atrioventricular block
case_images: PAMJ-40-154-g002.jpg
case_images: PMC8683484_01_PAMJ-40-154-g002.jpg
case_images: F2
case_images: The Electrocardiogram (ECG) revealed a 3rd -degree atrioventricular block with an average ventricular rate at 30 b/min (Figure 2).
case_images: ophthalmological exam, pigmentary retinopathy
case_images: PAMJ-40-154-g003.jpg
case_images: PMC8683484_01_PAMJ-40-154-g003.jpg
case_images: F3
case_images: As part of the etiological assessment of the Atrioventricular Block (AVB) and in the presence of bilateral ptosis, an ophthalmological assessment was carried, showing pigmentary retinopathy (Figure 3).
case_images: electrocardiogram and chest X-ray following pacemaker implantation, electro entrained rhythm
case_images: PAMJ-40-154-g004.jpg
case_images: PMC8683484_01_PAMJ-40-154-g004.jpg
case_images: F4
case_images: Therapeutic intervention and follow up: the patient underwent successful implantation of a double chamber pacemaker within 24 hours of admission, with an uneventful postoperative course (Figure 4).