Clinical Study of 3rd, 4th and 6th Cranialnerve Palsies Leading to Visual Disturbances
Journal Title: International Journal of Contemporary Medical Research - Year 2018, Vol 5, Issue 4
Abstract
Introduction: 3rd,4th and 6th cranial nerves are responsible for all ocular movements and normal binocular vision. Palsy of any of these nerves result squinting and diplopia which leads to defective vision. Study aimed to study is to know the common etiological factors causing 3rd, 4th and 6th nerve palsies resulting defective ocular motility for early diagnosis and effective management. Material and Methods: More than 50 cases with symptoms and signs of cranial nerve palsies admitted in REH, Warangal for complete clinical evaluation and treatment. All cases were analyzed and results were recorded. Results: A total of 50 patients were included, fulfilling inclusion and exclusion criteria, with mean age of onset being 55.8. 62% cases are noticed in males. Majority of our patients presented with double vision in 29 (58%) cases, followed by ptosis in 9 (18%) cases; headache and pain in eyes in 7 (14%) cases and 4 (8%) cases respectively. 6th nerve palsy (36%) is most commonly effected followed by 3 rd nerve palsy ((305). Most common etiological factors are vascular origin(40%) Vascular lesions are most commonest cause secondary to hypertension and diabetes. Other causes are inflammatory, trauma and idiopathic. Conclusion: Complete clinical evaluation and investigations may reveal the underlying cause. Addressing of the underlying systemic disease and medical and surgical management of ocular complications may improve the quality of vision.
Authors and Affiliations
K. Haridev Kumar, K. B. Chandra Bhanu, Rama Ashok
Keywords
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