A Clinical Study of Ocular Motor Cranial Nerve Palsies

Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 11

Abstract

Introduction: Third, Fourth and Sixth cranial nerves together facilitate the movements of the eye ball. Hence these together are called as OCULAR MOTOR CRANIAL NERVES. Ocular motor nerve palsies are commonly encountered in clinical practice and they vary widely in clinical presentation and etiology. Aim: The aim is to study the clinical aspects of ocular motor cranial nerve palsies. Material and Methods: This is a prospective observational study conducted on thirty patients of 3rd , 4th and 6th cranial nerve palsies either singly or in combination, who attended the ophthalmology OPD during the period between June 2015 to October 2016. Detailed history was taken followed by a systematic general, ocular and neurological examination in each patient. The necessary laboratory and radiological investigations were done with a special emphasis on CT and MRI as per the requirement. Results: out of the 30 cases included in the study 50% were of isolated third nerve palsy. Vascular etiology was the most common cause. Among the ocular symptoms double vision was the most frequent. CT reveled abnormality in seven and MRI in five cases. Conclusions: Third cranial nerve was the most commonly affected among all the ocular motor cranial nerves. Vasculopathy and trauma were the leading causes. CT and MRI were helpful in localizing the lesion and identifying the cause in significant number of cases.

Authors and Affiliations

Dr. NG Prasoona Devi, Dr. PAS Chalapathi reddy, Dr. CS Sandhya, Dr. M. Naganjaneyulu

Keywords

Related Articles

Cone Beam Computed Tomography in Orthodontics –Review

Computed tomography (CT) offered the medical and dental community great opportunity to enhance the diagnosis and treatment planning through non-invasive three-dimensional imaging technologies. Initially high radiation ex...

A Comparative Studyof Peripheral Blood SmearsandRapidDiagnostic Testsinthe Diagnosisof MalariaataTertiary Health Care Hospitalin Agra.

The aim of the study wasto compare the effectiveness of Rapid Diagnostic Test (RDT) and microscopy, in detection of malaria parasite, among suspected patients of malaria from S.N. Medical College, Agra.During February to...

A Series of Cases of Klippel Trenaunay Syndrome with Unusual Presentations

Klippel trenaunay syndrome (KTS) is characterized by triad of portwine stain, venous varicosities and bone and soft tissue hypertrophy. It is not commonly seen in dermatological practise. Hypertrophy and vascular malform...

Desmoplastic Ameloblastoma – A Rare Variant Of Ameloblastoma

Desmoplastic ameloblastoma is relatively rare variant of ameloblastoma. Only a very few cases have been reported in the literature. Here we present a case where a 48 year old male reported with an asymptomatic swelling w...

Atlas D'imagerie Des Occlusions Intestinales Aigues Mecaniques De Cause Inhabituelle Et Commune

L’occlusion intestinale est une urgence médico-chirurgicale, définie par un empêchement à la progression aborale du contenu intestinal par obstacle mécanique ou par faillite de l’activité musculaire intestinale. Les obje...

Download PDF file
  • EP ID EP238285
  • DOI 10.9790/0853-1611042430
  • Views 92
  • Downloads 0

How To Cite

Dr. NG Prasoona Devi, Dr. PAS Chalapathi reddy, Dr. CS Sandhya, Dr. M. Naganjaneyulu (2017). A Clinical Study of Ocular Motor Cranial Nerve Palsies. IOSR Journal of Dental and Medical Sciences (IOSR-JDMS), 16(11), 24-30. https://europub.co.uk/articles/-A-238285