dit zijn extra slides om zo het volledige deel / hoofdstuk van het handboek te bekomen. deze slides kunnen bij de slides van prof. Vereeck gebruikt worden.
Het zijn slides van H4 p57 inspectie
ptosis
• pupil partieel bedekt door bovenste ooglid
• te wijten aan paralyse M. levator palpebrae superior
gevolg van leasie N. oculomotorius
bij poging tot openen ogen = compenseren door M. frontalis
samentrekken
geïnnerveerd door N. facialis
wenkbrauwen + daaraan aangehechte bovenste oogleden op trekken
Gevolg van letsel sympathische zenuwstelsel
Kan P bovenste ooglid /a/ + willekeurig optrekken
maar onvoldoende rusttonus
Bij myasthenia gravis
bovenste ooglid progressief zakken bij volgehouden opwaartse blik
maar herstelt bij knipperen met ogen
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