76 yrs old male presented to The ED with 2 hour onset double vision and difficulty rising his right eyebrow, Hx is significant for Hypertension and diabetes mellitus patients deny any headach, slurring of speech or any other Neurological deficits
o/Ex right ptosis, when eyebrow lifted eye ball in down out position and unable to adduct or move upward, pupilary light response is intact #Investigation RBG : 238, H1Ac : 11 the likely cause of this patient condition :
