第三脑神经麻痹的眼部后遗症

THE OCULAR SEQUELAE OF THIRD CRANIAL NERVE PALSY.

作者信息

JOHNSTON A C, PRATT-JOHNSON J A

出版信息

Can Med Assoc J. 1963 Oct 26;89(17):871-3.

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1921927/

Abstract

The ocular sequelae in nineteen patients who had suffered from a complete paralysis of the third cranial nerve were analyzed. In eleven of these patients, the paralysis was associated with an aneurysm of the internal carotid artery system. None of the cases in this group showed complete recovery of the third nerve function; however, six recovered sufficiently to permit binocular single vision in most fields of gaze. Two cases of aberrant regeneration of the third nerve were diagnosed.Trauma accounted for four cases of third nerve paralysis. One of these recovered completely and one showed features of aberrant regeneration. Of the cases of oculomotor paralysis associated with herpes zoster ophthalmicus, encephalitis, or an obscure etiology (two cases), all recovered completely.

摘要

对19例曾患第三脑神经完全麻痹的患者的眼部后遗症进行了分析。其中11例患者的麻痹与颈内动脉系统的动脉瘤有关。该组病例均未出现第三神经功能完全恢复的情况；然而，6例恢复到足以在大多数注视视野中实现双眼单视。诊断出2例第三神经异常再生。外伤导致4例第三神经麻痹。其中1例完全恢复，1例表现出异常再生的特征。在与眼部带状疱疹、脑炎或病因不明（2例）相关的动眼神经麻痹病例中，所有患者均完全恢复。