Monday, September 20, 2010

von Graefe sign

Today I saw patient in which I found von Graefe sign (Lid lg in down gaze). There is proptosis on left side 0f 23mm and the difference between two eyes is more than 2 mm.
Patient has beent sent to medical specialist.


1 comment:

  1. For the ones who don't know... or don't remember... Von Graefe's sign (lid lag sign) is the immobility or lagging of the upper eyelid on downward rotation of the eye, indicating Graves' Disease,

    A pseudo Graefe's sign (pseudo lid lag) shows a similar lag, but is due to aberrant regeneration of fibres of the oculomotor nerve (III) into the elevator of the upper lid. It occurs in paramyotonia congenita.

    Hoping everyone remembers this after a few days,
    Dr. A.

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