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Droopy Eyelids in Children

Leo Leonidas MD, FAAP

WARNING, WARNING, WARNING; This section is for my Tufts University medical students. If you are a "worrier" type or a very anxious parent, please talk to your clinician about your child's problem or symptoms, rather than reading this differential diagnosis listing.

CAUSES OF PTOSIS

Drooping of one or both eyelids is called ptosis. This is not common in children. Sometimes ptosis is part of a syndrome.

CONGENITAL PTOSIS

Genetic Trait
Traumatic Origin
Marcus-Gunn Phenomenon
Mobius Syndrome
Hereditary External Ophthalmoplegia

SYNDROMES AND CHROMOSOMAL ABNORMALITIES

Turner Syndrome
Trisomy 18
Fetal Drug Exposure
Aarskog Syndrome
Familial Blepharophimosis
Dubowitz Syndrome
Freeman-Sheldon Syndrome
Schwartz Syndrome
Pachydermoperiostosis
Saethre-Chotzen Syndrome
Crouzon Syndrome
Apert Syndrome
Smith-Lemli-Opitz
Fanconi Pancytopenia
Noonan Syndrome
Craniooculodental Syndrome
Coffin-Siris Syndrome
Rubeinstein-Taybi Syndrome

NEUROMUSCULAR DISCORDERS

Myasthenia Gravis
Migraine
Hydrocephalus
Myotonic Dystropyhy
Oculomotor Nerve Involvement
Dermatomyositis
Ocular Muscular Dystrophy
Myotubular Myopathy
Horner Syndrome

POISONING

Botulism
Lead
Arsenicals
Carbon Monoxide
Dichlorodiethylsulfide

TUMORS

Orbital Tumors
Pinealoma

INBORN ERRORS OF METABOLISM

Carnitine Deficiency
Abetalipoproteinemia
Tangier Disease

LESIONS OF THE EYELIDS

OTHER CAUSES

Addison Disease
Cushing Syndrome
Thiamine Deficiency
Vitamin E Deficiency
Familia Posterior Lumbosacral Fusion
Cutis Laxa

REFERENCE:
Signs & Symptoms In Pediatrics
2nd Edition, page 179
Tunnessen, Jr

Belly Pain   Air Leaks From Lungs   Acute Crying   Back Pain   Bed Wetting   Big Lymph Node   Big Spleen   Blood in Urine Chronic Diarrhea   Chest Pain   Cough Coughing Up Blood   Constipation Droopy Eye   Enlarged Glands   Eye Swelling   Excessive Thrist   Facial Paralysis   Fainting Spell   Feeding Problem GI Bleeding   Headache   Head Tilt   Hives   High ESR   Hoarseness   Joint Pain   Limp   Leg Pain   Muscle Weakness   Noisy Breathing   Nose Bleeding   Nose Obstruction   Pyuria   Recurrent Infection   Red Green Urine   Ringing in the Ears Scrotal Swelling     Seizures   Stiff Neck   Swelling of the Parotic Gland   Toe Walking   Toeing In   Toeing Out   Unequal Pupils   Vomiting   Wheezing


Leo Leonidas, MD, FAAP
Assistant Clinical Professor in Pediatrics
Tufts University School of Medicine, Boston
Attending Pediatrician
Eastern Maine Medical Center, Bangor

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