Neurology Specific Literature Search   
 
[home][thesaurus]
    
Click Here to return To Results

 

Evolution of Oculomotor Nerve palsies
J Clin Neuro-Ophthalmol 12:21-25, Capo,H.,et al, 1992
See this aricle in Pubmed

Article Abstract
The management of patients with isolated oculomotor nerve palsies(OMPs)who have normal pupils and no other signs of neurological disease is a controversial issue.A more precise delineation of the clinical course of isolated OMPs may help to determine whether neuroradiologic evaluation is indicated these cases.We studied 41 patients with isolated third cranial nerve palsies,emphasizing the times of progression and resolution of the oculomotor nerve dysfunction.The average interval from onset to development of maximal ophthalmoplegia failed to differentiate between a microvascular etiology(3.3 days)or posterior communicating artery aneurysm (3 days).Of the 28 patients with diabetic or idiopathic palsies,regardless of pupillary involvement,68%had improvement of the oculomotor paresis within 4 weeks,96%within 8 weeks,and 100%within 12 weeks of the onset of symptoms.Our study suggests that patients with pupil-sparing OMPs should be considered for extensive neuroradiologic evaluation only if there is deterioration or failure to improve within 4 to 8 weeks.
 
Related Tags
(click to filter results - removes previous filter)

aneurysm
aneurysm,intracranial
angiography,cerebral
cavernous sinus
cavernous sinus,lesion of
cavernous sinus,meningioma
cranial neuropathy
diabetes mellitus
diabetic cranialneuropathies
diabetic ophthalmoplegia
eye,pain in
lymphoma
meningioma
MRI
ophthalmoplegia
pain
pain,periorbital
third nerve
third nerve palsy
third nerve palsy,pupil sparing in
third nerve palsy,superior branch
treatment of neurologic disorder

Click Here to return To Results