Cruz P, Almeida R, Gonçalves M, Marote G, Silva J, Cavaleiro C, Jacinto V
Serviços de Oftalmologia e Neurologia, Hospital de Sto. António dos Capuchos, Lisboa.
Acta Med Port. 1994 May;7(5):277-80.
Ocular paresis is a usual diagnosis in neuro-ophthalmologic consultation, and its aetiology is indeed a challenge. The authors studied 3400 records concerning this consultation, between 1982 and the third quarter of 1993. During this period 221 cases with ocular paresis were selected. During this retrospective study we point out the following items: the cranial nerve affected; the neuro-ophthalmologic semiology; the aetiology and clinical evolution, according to the age groups. From 221 cases selected, 111 were paresis from the VIth pair (50.2%), 88 from the IIIrd pair (39.8%), 14 multiple paresis (6.4%) and 8 paresis from the IVth pair (3.6%). The most frequent complaint was diplopia (> 90%). As far as the aetiological diagnosis is concerned, this was easier to establish in patients > 50 years of age. In this age group the most usual aetiology was vascular and traumatic pathologies. In younger patients the most frequent pathologies were traumatic and tumoral. The prognostic was better in the vascular group, the paresis recovery being > 50% in all other pathologies, except the tumoral one.
眼肌麻痹是神经眼科会诊中的常见诊断，其病因确实是一项挑战。作者研究了1982年至1993年第三季度期间有关该会诊的3400份记录。在此期间，挑选出221例眼肌麻痹病例。在这项回顾性研究中，我们指出以下几点：受累的脑神经；神经眼科症状学；根据年龄组划分的病因和临床演变。在挑选出的221例病例中，111例为第六对脑神经麻痹（50.2%），88例为第三对脑神经麻痹（39.8%），14例为多发性麻痹（6.4%），8例为第四对脑神经麻痹（3.6%）。最常见的主诉是复视（>90%）。就病因诊断而言，在50岁以上的患者中更容易确立。在这个年龄组中，最常见的病因是血管性和创伤性病变。在较年轻的患者中，最常见的病变是创伤性和肿瘤性。血管性组的预后较好，除肿瘤性病变外，所有其他病变的麻痹恢复率均>50%。
