Causes and prognosis in 4,278 cases of paralysis of the oculomotor, trochlear, and abducens cranial nerves

We collected data from a large series of patients with ocular palsies and compared them with data in previous series from the Mayo Clinic. The largest group of patients among 4,278 cases was that in which the cause was undetermined for a long period of follow-up. The abducens nerve was most commonly...

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Bibliographic Details
Published inAmerican journal of ophthalmology Vol. 113; no. 5; p. 489
Main Authors Richards, B W, Jones, Jr, F R, Younge, B R
Format Journal Article
LanguageEnglish
Published United States 15.05.1992
Subjects
Abducens Nerve
Adolescent
Adult
Aged
Aged, 80 and over
Child
Child, Preschool
Cranial Nerve Diseases - diagnosis
Cranial Nerve Diseases - etiology
Female
Follow-Up Studies
Humans
Incidence
Infant
Male
Middle Aged
Oculomotor Nerve Diseases - diagnosis
Oculomotor Nerve Diseases - etiology
Paralysis - diagnosis
Paralysis - etiology
Probability
Prognosis
Trochlear Nerve
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Summary:We collected data from a large series of patients with ocular palsies and compared them with data in previous series from the Mayo Clinic. The largest group of patients among 4,278 cases was that in which the cause was undetermined for a long period of follow-up. The abducens nerve was most commonly affected. The probability of establishing a diagnosis was higher in patients younger than 50 years and among those with associated neurologic findings or multiple ocular palsies. The prognosis for recovery was best in the vascular group but was better than 50% for all groups except those with tumors. Investigation may be tailored to each patient according to clinical findings and probabilities of finding a cause, and judicious clinical judgement should be exercised.
ISSN:0002-9394
1879-1891
DOI:10.1016/S0002-9394(14)74718-X