We studied prospectively 105 unselected patients complaining of ptosis and/or diplopia due to extrinsic ophthalmic muscle palsies without other neurological signs. All patients underwent the same diagnostic protocol. The presenting symptoms were: ptosis, 35 patients (33%); diplopia, 27 patients (26%); ptosis and diplopia, 43 patients (41%). The oculomotor nerve was most frequently involved, followed by the abducens nerve. The final diagnoses were: ocular myasthenia, intracranial and/or orbital pathology, thyroid ophthalmopathy, diabetic ophthalmoplegia, mitochondrial myopathy, oculopharyngeal muscular dystrophy. In 26 patients (25%) the cause remained undetermined. Our study confirms the difficulty of establishing an aetiological diagnosis in patients with isolated ocular palsies.
Batocchi, A. P., Evoli Stampanoni-B, A., Majolini, L., Lo Monaco, M., Padua, L., Ricci, E., Dickmann Rossi, A., Tonali, P. A., Ocular palsies in the absence of other neurological or ocular symptoms: analysis of 105 cases, <<JOURNAL OF NEUROLOGY>>, 1997; 244 (10): 639-645 [http://hdl.handle.net/10807/19924]
Ocular palsies in the absence of other neurological or ocular symptoms: analysis of 105 cases
Batocchi, Anna Paola;Evoli Stampanoni-B, Amelia;Lo Monaco, Mauro;Padua, Luca;Ricci, Enzo;Dickmann Rossi, Anna;
1997
Abstract
We studied prospectively 105 unselected patients complaining of ptosis and/or diplopia due to extrinsic ophthalmic muscle palsies without other neurological signs. All patients underwent the same diagnostic protocol. The presenting symptoms were: ptosis, 35 patients (33%); diplopia, 27 patients (26%); ptosis and diplopia, 43 patients (41%). The oculomotor nerve was most frequently involved, followed by the abducens nerve. The final diagnoses were: ocular myasthenia, intracranial and/or orbital pathology, thyroid ophthalmopathy, diabetic ophthalmoplegia, mitochondrial myopathy, oculopharyngeal muscular dystrophy. In 26 patients (25%) the cause remained undetermined. Our study confirms the difficulty of establishing an aetiological diagnosis in patients with isolated ocular palsies.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.