[Principles and results of treatment in acquired paralysis of III, IV and VI nerves]

Klin Oczna. 1995 May;97(5):147-51.
[Article in Polish]

Abstract

Between 1979-1994 120 patients with acquired paralysis of cranial nerves of ocular muscles were treated: 33 cases with paralysis of oculomotor nerve, 43 cases with paralysis of trochlear nerve, 44 cases with paralysis of abducens nerve. The majority of our patients were males (84-70.0%) aged 21-40 years (65-54.2%). The paralysis was most frequently caused by traffic accidents (45 cases--37.5%) and assaults (26 cases--21.7%). The most common symptom of paralysis was diplopia (109 patients--90.8%). Only 12 persons (10.0%) were admitted during the first month of paralysis and visual disorders caused by it. In our group 18 patients (15.0%) were treated conservatively. Sixteen patients (13.3%) were given injections of botulin toxin A into the eye muscles. Surgical treatment, usually of several ocular muscles, was performed in 83 cases (67.5%) when diplopia was not reduced after 6-12 months. The method of surgery and results are presented.

Publication types

  • English Abstract

MeSH terms

  • Abducens Nerve Injury
  • Adolescent
  • Adult
  • Aged
  • Botulinum Toxins / therapeutic use
  • Child
  • Child, Preschool
  • Cranial Nerve Diseases / etiology
  • Cranial Nerve Diseases / therapy*
  • Diplopia / etiology
  • Female
  • Humans
  • Male
  • Middle Aged
  • Neoplasms / complications
  • Oculomotor Muscles / innervation
  • Oculomotor Muscles / surgery
  • Oculomotor Nerve Diseases / etiology
  • Oculomotor Nerve Diseases / therapy
  • Oculomotor Nerve Injuries
  • Paralysis / etiology
  • Paralysis / therapy*
  • Trochlear Nerve Injuries
  • Vascular Diseases / complications

Substances

  • Botulinum Toxins