Clinical analysis of 56 elderly patients with oculomotor nerve palsy
ZHANG Hongya
SHI Ming
PEI Rui
ZHAO Gang
Abstract：Objective To analyze the etiology and clinical characteristics of the first diagnosis of oculomotor nerve palsy.Methods To review the auxiliary examinations and symptoms of patients in Xijing Hospital from Jan 2008 to Dec 2016 as the first symptom of oculomotor nerve palsy .Results 56 patients contracted unilateral oculomotor nerve palsy .15 cases (26.8%) were complete oculomotor nerve palsy and 41 cases (73.2%) were incomplete oculomotor nerve palsy .There were 19 cases with aneurysm (33.9%), 15 cases with diabetes (26.8%), 1 cases with painful ophthalmoplegia (1.8%), 1 ca-ses with Miller Fisher syndrome (1.8%), 1 cases with traumatism (1.8%), 1 cases with neurosyphilis (1.8%), 2 cases with sellar tumourd (3.6%), 1 cases with pineal gland the tumor (1.8%), 1 cases with central nervous system blood dis-ease (1.8%), and 14 cases with unknown causes (25%).Majority of patients with aneurysm were attacked complete oph-thalmoplegia (63.2%).All diabetes patients were attacked incomplete ophthalmoplegia (100%).Conclusion In elderly patients with oculomotor paralysis , aneurysm was the most common cause inducing complete oculomotor paralysis and diabetes was the primary cause of incomplete oculomotor paralysis .After receiving early and timely diagnosis and treatment , many pa-tients’ symptoms improved or even completely released .
Keywords：Oculomotor nerve palsyEtiologyAneurysmDiabetesElderly
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 186-188 )