Try this:
\defineenumeration[OtherMeaning][
text=,
headstyle=normal,
alternative={left}, %,serried
distance=0pt,
width=20pt,
stopper=\high{o},
inbetween=,
before={\blank[small]},
after={\blank[small]},
inbetween=,
]
\setupnarrower[
before={\blank[big]},
after={\blank[big]},
]
\starttext
{\bf Ton}
\startnarrower
\startOtherMeaning
Inhoudsmaat van een schip, die 1000 kilo \dots
\stopOtherMeaning
\startOtherMeaning
Tonvormige boei \dots
\stopOtherMeaning
\stopnarrower
{\bf Tong,} z. n. v.
\startnarrower
Split van een standaard. \dots
\stopnarrower
\stoptext
See also:
http://wiki.contextgarden.net/Command/defineenumeration
http://wiki.contextgarden.net/Command/setupdescriptions
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