Kodsi S R, Younge B R
Department of Ophthalmology, Mayo Clinic, Rochester, Minnesota 55905.
Am J Ophthalmol. 1992 Nov 15;114(5):568-74. doi: 10.1016/s0002-9394(14)74484-8.
Between January 1966 and December 1988, 160 pediatric patients (age range, 0 to 17 years) were seen at the Mayo Clinic with an acquired oculomotor (35 patients), trochlear (19 patients), abducent (88 patients), or multiple (18 patients) cranial nerve palsy. The clinical findings in the 160 pediatric patients were compared with the results obtained in other reviews of cranial nerve palsies in the pediatric age group and with the adult Mayo Clinic patients with acquired cranial nerve palsies. Trauma was the most common reason for an acquired cranial nerve palsy in our pediatric group. The percentage of patients with an acquired cranial nerve palsy resulting from trauma was significantly greater in the pediatric group (42.5%) than in adults (15.4%) (P < .01). The difference between the percentage of adults (15.2%) and pediatric patients (16.9%) with a cranial nerve palsy secondary to a neoplasm was not statistically significant (P = .28).
1966年1月至1988年12月期间，梅奥诊所共接诊了160例儿科患者（年龄范围为0至17岁），这些患者患有后天性动眼神经（35例）、滑车神经（19例）、展神经（88例）或多组（18例）脑神经麻痹。将这160例儿科患者的临床检查结果与其他有关儿科年龄组脑神经麻痹的综述结果以及梅奥诊所成年后天性脑神经麻痹患者的结果进行了比较。外伤是我们儿科组后天性脑神经麻痹最常见的原因。儿科组因外伤导致后天性脑神经麻痹的患者百分比（42.5%）显著高于成人组（15.4%）（P <.01）。因肿瘤继发脑神经麻痹的成人患者百分比（15.2%）与儿科患者百分比（16.9%）之间的差异无统计学意义（P =.28）。
