Elderly ophthalmoplegia causes retrospective analysis of 32 cases.docVIP

 PAGE \* MERGEFORMAT 10 Elderly ophthalmoplegia causes retrospective analysis of 32 cases Ophthalmoplegia is a common neurological symptoms, with ophthalmoplegia as the main performance of elderly patients with relatively more common in neurology, now I Division in January 2000 ~ January 2006 elderly people admitted to ophthalmoplegia 32 patients were retrospectively analyzed the cause, the report is as follows. A clinical data 1.1 General information on this group of patients a total of 32 cases, male 18 cases, 14 females, aged 60 to 82 years, mean 73.4 years, with 22 patients with history of hypertension, diabetes, history of 8 cases, 7 cases of stroke history. 1.2 Clinical manifestations are barriers to eye movements, diplopia, ptosis and other symptoms of ophthalmoplegia-based treatment, some patients accompanied by headache, dizziness, eye pain, fever, vision loss, difficulty swallowing, a hoarse voice and so on. Monocular involvement in 28 cases, four cases involved both eyes; nervous system diseases, 30 cases, 1 case myogenic; oculomotor nerve palsy 24 cases, 3 cases of abducens nerve palsy, medial longitudinal fasciculus involvement in 4 cases, trochlear nerve palsy in 1 case. 1.3 Auxiliary inspection (1) head CT, MRI is the most important diagnostic tools can be found cerebrovascular disease, cancer, cerebral arteriosclerosis, aneurysm and other diseases; (2) MRA, DSA can be found aneurysms and vascular malformations, etc.; (3), blood tests can be found such as diabetes and other diseases; (4) the need for myasthenia gravis neostigmine test and chest X ray or CT. 1.4 Etiology Results (1) brainstem infarction in 9 cases, of which 6 cases of unilateral oculomotor nerve, in order to extraocular muscle paresis, unilateral abducens nerve in 2 cases, the medial longitudinal fasciculus in 1 case, the performance as’ a semi-integrated Zheng ‘; (2) 7 cases of high blood pressure arteriosclerosis, of which 5 cases of unilateral oculomotor nerve,