Clinical Study of Etiopathogenesis of Isolated Oculomotor Nerve Palsy
Journal Title: PARIPEX-Indian Journal of Research - Year 2016, Vol 5, Issue 2
Abstract
To identify common etiologies of isolated oculomotor nerve palsy and to assess the factors influencing its recovery. Materials and Methods: Observational cohort study was conducted for 18 months in 36 patients diagnosed with isolated oculomotor nerve palsy of either congenital or acquired type. Exclusion criteria included, patients who are terminally ill and/or those who had trochlear or abducent nerve involvement apart from the third cranial nerve. The comprehensive ophthalmic examination was performed through an oblique illumination method apart from assessment of visual acuity, color vision and slit lamp examination. CNS examination was thoroughly done in all the patients to rule out the possibility of other cranial nerve palsies. CT and MRI neuroimaging were performed in selected cases. Results: Type of oculomotor nerve paresis, etiology for the development of paresis, influence of pain, diabetes, hypertension and trauma were analyzed in the patients. Conclusion: Microvascular ischemia, pupil sparing palsy and incomplete paresis are the significant indicators of complete recovery determined in our study.
Authors and Affiliations
Yogeswari A, Kumara swamy, Heber Anandan, Saranya KV
Keywords
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