dc.contributor.author | Colpak, Ayse Ilksen | |
dc.contributor.author | Caglayan, Hale Batur | |
dc.date.accessioned | 2021-06-03T05:43:00Z | |
dc.date.available | 2021-06-03T05:43:00Z | |
dc.date.issued | 2019 | |
dc.identifier.issn | 1301-062X | |
dc.identifier.uri | http://dx.doi.org/10.4274/tnd.galenos.2019.29795 | |
dc.identifier.uri | http://hdl.handle.net/11655/24129 | |
dc.description.abstract | Objective: To determine the etiologic factors and clinical profile of isolated third, fourth, and sixth nerve palsies in neuro-ophthalmology outpatient clinics of two different reference centers. Materials and Methods: Retrospective evaluation of medical records from the institutional database. Results: A total of 127 (78 male, 49 female) patients were analyzed. Forty-five (35.4%) patients had isolated third nerve palsy, 34 (26.8%) had isolated fourth nerve palsy, and 48 (37.8%) patients had isolated sixth nerve palsy. The mean ages were similar; 58.87 +/- 13.6, 56.32 +/- 16.1, and 54.9 +/- 14.4 years, respectively (p=0.4). Diplopia was the main symptom seen in all patients. Twenty-one patients had anisocoria (20 third, 1 fourth). Among patients with anisocoria, 3 patients had final diagnoses of vasculopathy, the rest were diagnosed as having acquired non travmatic palsy with different etiologies such as aneurysm, Tolosa-Hunt syndrome, and carotico-cavernous fistula. The most common etiology for all groups was vasculopathy. Three patients with isolated oculomotor nerve palsy were diagnosed as having Tolosa-Hunt sydnrome despite pupillary sparing. The mean recovery time was similar for all cranial nerve palsies. Conclusion: Although, the most common etiology of third, fourth, and sixth nerve palsies is vasculopathy, neuroimaging studies are crucial to exclude potentially treatable and dangerous conditions. | |
dc.language.iso | en | |
dc.relation.isversionof | 10.4274/tnd.galenos.2019.29795 | |
dc.rights | Attribution 4.0 United States | |
dc.rights | info:eu-repo/semantics/openAccess | |
dc.rights.uri | https://creativecommons.org/licenses/by/4.0/ | |
dc.subject | Diplopia | |
dc.subject | fourth nerve palsy | |
dc.subject | sixth nerve palsy | |
dc.subject | third nerve palsy | |
dc.title | Isolated Third, Fourth, And Sixth Cranial Nerve Palsies In The Turkish Population: Etiologic Factors And Clinical Course | |
dc.type | info:eu-repo/semantics/article | |
dc.type | info:eu-repo/semantics/publishedVersion | |
dc.relation.journal | Turkish Journal Of Neurology | |
dc.contributor.department | Nöroloji | |
dc.identifier.volume | 25 | |
dc.identifier.issue | 1 | |
dc.description.index | WoS | |
dc.description.index | Scopus | |