Imaging Findings in Neurogenic Ptosis

Neurogenic ptosis refers to upper eyelid drooping resulting from disrupted innervation of the eyelid retractor muscles. The differential diagnoses of neurogenic ptosis include oculomotor nerve palsy, Horner’s syndrome, and neuromuscular junction disorders. Oculomotor nerve palsy and Horner’s synd...

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Main Authors: Yiseul Son, Eun Ja Lee, Nam-Hee Kim, So Jeong Lee
Format: Article
Language:English
Published: The Korean Society of Radiology 2025-07-01
Series:Journal of the Korean Society of Radiology
Subjects:
Online Access:https://doi.org/10.3348/jksr.2024.0107
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author Yiseul Son
Eun Ja Lee
Nam-Hee Kim
So Jeong Lee
author_facet Yiseul Son
Eun Ja Lee
Nam-Hee Kim
So Jeong Lee
author_sort Yiseul Son
collection DOAJ
description Neurogenic ptosis refers to upper eyelid drooping resulting from disrupted innervation of the eyelid retractor muscles. The differential diagnoses of neurogenic ptosis include oculomotor nerve palsy, Horner’s syndrome, and neuromuscular junction disorders. Oculomotor nerve palsy and Horner’s syndrome result from damage to the oculomotor and oculosympathetic pathways, respectively. The oculomotor nerve pathway has four segments: intraaxial, subarachnoid, cavernous, and orbital. The oculosympathetic pathway consists of three orders of neurons extending from the base of the skull to the upper chest. Several pathologic conditions can affect these neural pathways and cause neurogenic ptosis owing to the long course of the involved nerves. Therefore, neurogenic ptosis is usually associated with unique clinical features based on the anatomical location of the pathology. This pictorial essay provides a deeper understanding of the neural pathways and different diseases that cause neurogenic ptosis, which can help in determining the location of the pathology.
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spelling doaj-art-a0ac4cb7fc1f41349e42e3d4a87ad9132025-07-27T05:41:18ZengThe Korean Society of RadiologyJournal of the Korean Society of Radiology2951-08052025-07-01864483500https://doi.org/10.3348/jksr.2024.0107Imaging Findings in Neurogenic PtosisYiseul SonEun Ja LeeNam-Hee KimSo Jeong LeeNeurogenic ptosis refers to upper eyelid drooping resulting from disrupted innervation of the eyelid retractor muscles. The differential diagnoses of neurogenic ptosis include oculomotor nerve palsy, Horner’s syndrome, and neuromuscular junction disorders. Oculomotor nerve palsy and Horner’s syndrome result from damage to the oculomotor and oculosympathetic pathways, respectively. The oculomotor nerve pathway has four segments: intraaxial, subarachnoid, cavernous, and orbital. The oculosympathetic pathway consists of three orders of neurons extending from the base of the skull to the upper chest. Several pathologic conditions can affect these neural pathways and cause neurogenic ptosis owing to the long course of the involved nerves. Therefore, neurogenic ptosis is usually associated with unique clinical features based on the anatomical location of the pathology. This pictorial essay provides a deeper understanding of the neural pathways and different diseases that cause neurogenic ptosis, which can help in determining the location of the pathology.https://doi.org/10.3348/jksr.2024.0107ptosisoculomotor nerve palsyhorner’s syndromeimaginganatomy
spellingShingle Yiseul Son
Eun Ja Lee
Nam-Hee Kim
So Jeong Lee
Imaging Findings in Neurogenic Ptosis
Journal of the Korean Society of Radiology
ptosis
oculomotor nerve palsy
horner’s syndrome
imaging
anatomy
title Imaging Findings in Neurogenic Ptosis
title_full Imaging Findings in Neurogenic Ptosis
title_fullStr Imaging Findings in Neurogenic Ptosis
title_full_unstemmed Imaging Findings in Neurogenic Ptosis
title_short Imaging Findings in Neurogenic Ptosis
title_sort imaging findings in neurogenic ptosis
topic ptosis
oculomotor nerve palsy
horner’s syndrome
imaging
anatomy
url https://doi.org/10.3348/jksr.2024.0107
work_keys_str_mv AT yiseulson imagingfindingsinneurogenicptosis
AT eunjalee imagingfindingsinneurogenicptosis
AT namheekim imagingfindingsinneurogenicptosis
AT sojeonglee imagingfindingsinneurogenicptosis