Ischaemic oculomotor nerve palsy |
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Authors: | A. U. Teuscher O. Meienberg |
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Affiliation: | (1) Department of Neurology, University of Bern, Switzerland;(2) Department of Neurology, University of Basel, 4031 Basel, Switzerland |
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Abstract: | Summary Of 61 patients with isolated third nerve palsy, 23 (38%) had the characteristic clinical features of an ischaemic oculomotor nerve palsy. The essential sign of this usually painful disorder of acute onset was a marked discrepancy between complete or severe paresis of the extraocular muscles innervated by the third nerve, and sparing of the pupillary sphincter. All patients had completely recovered within 3 months. Fourteen had a history or on follow-up had other cranial mononeuropathies. Except for two patients, all were above the age of 60 years. Of the 23 cases, 11 had diabetes mellitus and 8 an abnormal glucose tolerance test, while in 4 the latter was normal. Almost all had hypertension and were overweight, and half were smokers. In 18 patients, four or five vascular risk factors were present. |
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Keywords: | Oculomotor nerve palsy, ischaemic Pupil sparing Vascular risk factors Diabetes mellitus |
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