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January 1982

Ptosis Associated With Iatrogenic Pneumothorax: A False Lateralizing Sign

Author Affiliations

From the Department of Medicine, Veterans Administration Medical Center, La Jolla, Calif; and the University of California School of Medicine, San Diego. Dr Widder is now with the Massachusetts General Hospital and Harvard Medical School, Boston.

Arch Intern Med. 1982;142(1):145-146. doi:10.1001/archinte.1982.00340140147025

• Two cachectic, obtunded patients were seen with unilateral periorbital emphysema resembling ptosis as a primary manifestation of pneumothorax. Speculation is made as to the possible role of malnutrition in this unusual manifestation. Spontaneous pneumothorax should be considered in the obtunded patient with ptosis that is poorly explained by other neurologic findings.

(Arch Intern Med 1982;142:145-146)

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