An 80-year-old woman presented to the emergency department with sudden-onset bilateral horizontal diplopia accompanied by left-sided upper eyelid ptosis. On further questioning, she reported a 1-week history of drooling when eating. She had no other associated neurological or constitutional symptoms. No anhidrosis was noted. Her medical history was significant for a 2-year history of constant, dull, left-sided facial pain diagnosed as trigeminal neuralgia by her treating neurologist and moderately improved with gabapentin and nortriptyline. Recent computed tomography (CT) of the brain, conducted as part of her headache workup, had been reported as normal.

中文翻译：

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一位 80 岁女性的复视、上睑下垂和流口水

一名 80 岁女性因突发双侧水平复视并伴有左侧上睑下垂而到急诊科就诊。在进一步询问中，她报告了 1 周的进食时流口水史。她没有其他相关的神经或全身症状。未发现无汗症。她的病史很重要，因为她的治疗神经科医生诊断为三叉神经痛 2 年持续、钝痛、左侧面部疼痛，加巴喷丁和去甲替林适度改善。据报道，最近作为头痛检查的一部分进行的大脑计算机断层扫描 (CT) 是正常的。