Ocular palsies in the absence of other neurological or ocular symptoms: analysis of 105 cases
Batocchi, A. P. ; Evoli, A. ; Majolini, L. ; Monaco, M. Lo ; Padua, L. ; Ricci, E. ; Dickman, A. ; Tonali, P.
Springer
Published 1997
Springer
Published 1997
ISSN: |
1432-1459
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Keywords: |
Key words Ocular palsies ; Ptosis ; Diplopia ; Ocular myasthenia
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Source: |
Springer Online Journal Archives 1860-2000
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Topics: |
Medicine
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Notes: |
Abstract We studied prospectively 105 unselected patients complaining of ptosis and/or diplopia due to extrinsic ophthalmic muscle palsies without other neurological signs. All patients underwent the same diagnostic protocol. The presenting symptoms were: ptosis, 35 patients (33%); diplopia, 27 patients (26%); ptosis and diplopia, 43 patients (41%). The oculomotor nerve was most frequently involved, followed by the abducens nerve. The final diagnoses were: ocular myasthenia, intracranial and/or orbital pathology, thyroid ophthalmopathy, diabetic ophthalmoplegia, mitochondrial myopathy, oculopharyngeal muscular dystrophy. In 26 patients (25%) the cause remained undetermined. Our study confirms the difficulty of establishing an aetiological diagnosis in patients with isolated ocular palsies.
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Type of Medium: |
Electronic Resource
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URL: |