Document Detail


Clinical Course and Characteristics of Acute Presentation of Fourth Nerve Paresis.
MedLine Citation:
PMID:  22800797     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
PURPOSE:Many cases of acute-onset cranial nerve paresis have benign etiologies such as microvascular occlusion. Most will resolve completely and neuroimaging is usually unnecessary. Few reports exist on acute fourth nerve paresis. METHODS:A retrospective review was conducted of all patients presenting with diplopia to the emergency department for 1 year caused by isolated fourth cranial nerve paresis from any cause including trauma. RESULTS:Thirty-two patients met the criteria, 26 (81%) males and 6 (19%) females, with an average age of 59.5 years (range: 14 to 80 years). Eighteen (56%) had a microvascular etiology with diabetes mellitus, hypertension, or both; 6 were already taking medication. Six (19%) had decompensating fourth nerve paresis (2 had hypertension and 1 had recent head trauma). Closed head trauma accounted for 2 patients, migraine and herpes zoster virus accounted for one each, and 4 remained unknown. Nineteen patients (59%) were prescribed prisms and 2 patients were given occlusion. Diplopia resolved without treatment in 23 patients (72%) within 2 weeks to 10 months, but 89% of patients with microvascular etiology resolved spontaneously. Three patients continued with prisms, one patient underwent surgery. CONCLUSION:The prognosis for complete and spontaneous resolution of microvascular fourth nerve paresis was excellent, with 89% completely resolved within 10 months.
Authors:
Ayman Khaier; Emma Dawson; John Lee
Related Documents :
7597387 - Return of sensibility and final outcome of breast reconstructions using free transverse...
15480007 - Free tissue transfer to a difficult wound of the lower extremity.
7313937 - Discriminant arteriographic criteria in the management of forearm and hand ischemia.
22134367 - Influence of metabolic syndrome on development of cardiac allograft vasculopathy in the...
21177897 - Development and evaluation of a real-time pcr assay for detection and quantification of...
15836547 - Clinical implications of an accurate problem list on heart failure treatment.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-7-17
Journal Detail:
Title:  Journal of pediatric ophthalmology and strabismus     Volume:  -     ISSN:  1938-2405     ISO Abbreviation:  -     Publication Date:  2012 Jul 
Date Detail:
Created Date:  2012-7-17     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7901143     Medline TA:  J Pediatr Ophthalmol Strabismus     Country:  -    
Other Details:
Languages:  ENG     Pagination:  1-4     Citation Subset:  -    
Copyright Information:
Copyright 2012, SLACK Incorporated.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Direct Costs for Retinoblastoma Treatment During the First Year of Comprehensive Therapy in China.
Next Document:  Trabeculectomy Versus Combined Trabeculotomy-Trabeculectomy in Pediatric Glaucoma.