Structural analysis and etiological characteristics of oculomotor disorders in neurosurgical patients
DOI:
https://doi.org/10.11603/bmbr.2706-6290.2022.1.12965Keywords:
oculomotor disorders, strabismus, diplopia, neurosurgical diseasesAbstract
Summary. Oculomotor disorders (OMD) are complex multidisciplinary problem that can occur in a number of ophthalmological, neurosurgical and endocrine diseases. Damage to the oculomotor system can occur at various levels, from the extraocular muscles, nerves, to the nucleus, internuclear ligaments, and cortical centers.
The aim of the study – to identify the etiological factors of oculomotor disorders and create a diagnostic algorithm.
Materials and Methods. A survey of 400 patients with OMD of various etiologies who applied to the Neurosurgery Institute was conducted.
Results. The causes of OMD in patients with neurosurgery pathology are vascular lesion in 39 %, brain tumor (35 %), severe traumatic brain injury – 18 % and inflammatory diseases (4 %). Aneurysms of various sections of internal carotid artery dominate among patients with vascular disorders. The algorithm for patients treatment with OMD and diplopia has been developed.
Conclusions. It is necessary to be alert for ophthalmologists, timely diagnostics and referral to doctors of related profiles.
References
Vasileva IG, Zhdanova VN, Chopic NG, Makarova TA, Halanta ES, Tsubko OI. [Disfunction of the oculomotor (III and VI) cranial nerves associated with active herpesvirus infection]. Oftalmol Zh. 2019;1: 9-17. Russian.
Zhdanova VN. [Oculomotor disorders in neurosurgical patients]. Neyrokhir i neyrolog Kazahstan. 2014;2(35): 3-9. Russian.
Zhadoyanni LV. [Analysis of results diagnostics and treatment patients with oculomotor disorders]. Ukr nevroloh zhurn. 2010;2(15): 72-7. Ukrainian.
Nikiforov AS, Guseva MR. Neuroophthalmology: a guide. [Нейроофтальмология : руководство] Moscow: GEOTAR-Media; 2008. Russian.
Chaudhry IA, Elkhamry SM, AL-Rashed W. Carotid cavernous fistula: ophthalmological implication. Middle East Afr J Ophthalmol. 2009;16(20): 57-63. DOI: 10.4103/0974-9233.53862
Chen H, Wang X, Yao Shan. The aetiologies of unilateral oculomotor nerve palsy: a clinical analysis on 121 patients. Somatosensory and Motor Research. 2019;36(2): 102-8.
Cui V, Kouliev T. Isolated oculomotor nerve palsy resulting from acute traumatic tentorial subdural hematoma Open Access Emergency Medicine. 2016;8: 97-101.
Das S. Total ophthalmoplegia – a series of case reports. Delhi Journal of Ophthalmology. 2020;30: 67-71.
El-Habashi N. An ocular infection model using suckling hamsters inoculated with equineherpevirus 9 (EHV-9): kinetics of the virus and time-course pathogenesis of EHV-9 induced encephalitis via the eye. Vet Pathol. 2013;50(1): 56-64.
Richards BW, Jones FR, Younge BR. Causes and prognosis in 4,278 cases of paralysis of the oculomotor, trochlear, and abducens cranial nerves. Am J Ophthalmol. 1992;113(5): 489-896.
Tan A, Faroooqui S, Li X, Tan YL. Ocular manifestations and the clinical course of carotid cavernous sinus fistulas in Asian patients. Orbit 2014;33(1): 45-51.
Yokosato S, Kikkava Y, Takeda R, Kurita H. Oculomotor nerve palsy in patient with a ruptured middle cerebral artery aneurism. J Med Invest. 2017;64 (1,2): 165-7. DOI: 10.2152/jmi.64.165.PMID:28373616
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Bulletin of Medical and Biological Research
This work is licensed under a Creative Commons Attribution 4.0 International License.
