Lady with Bilateral Ptosis

Thursday, April 15, 2010
This is the  Chest CT  of a  33 year old woman who came to the  neurology unit complaining of  drooping  of her eye lids and generalized fatigability  which is worsen when she is in the middle of some work and comes to  the normal  by the rest.Drooping  of her eye lid which was bilateral and  more prominent on the left  side.In addition to that she also complained that she had recent onset chestpain along with dry cough.On examination Pemberton's sign was elicited.

Identify this CT?
What are the causes of positive Pemberton's sign?
How  would you link all her clinical features?



  1. It could be myasthenia gravis associated with a thymoma that is producing the superior vena cava syndrome (Pemberton's sign)

  2. nidhin Says:
  3. Myasthenia gravis....

  4. Anonymous Says:
  5. myasthenia gravis with thymoma.

  6. Anonymous Says:
  7. Pemberton's sign is also seen in pt with apical lung cancer, mediastinal tumors & retrosternal goiter

  8. Anonymous Says:
  9. myasthenia gravis with thymoma.Pemberton's sign related to the superior vena cava syndrome which may be caused by the thymoma.

  10. Anonymous Says:
  11. ocular myastenia gravis

  12. myesthenia gravis secondary to thymoma..

  13. sahin lacin Says:
  14. myasthenia gravis that comes from thymoma..pemberton's sign due to thymoma

  15. Anonymous Says:
  16. myasthenia gravis associated with a thymoma that is producing the superior vena caval obstruction (Pemberton's sign)

  17. Anonymous Says:
  18. myasthenia gravis

  19. Anonymous Says:
  20. lung cancer

  21. nishant Says:
  22. i think myasthenia gravis + thymoma...
    it can'nt be lung cancer(ass. with lambert-eaton syndrome)...coz then her condition wud hv improved with work..

  23. Anonymous Says:
  24. myasthenia gravis associated with a thymoma


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