No abstract available.
Oculomotor Nerve Diseases ; Oculomotor Nerve

In congenital third nerve palsy, the function in four of the six extraocular muscles is compromised, and its treatment is the most difficult problem in paralytic strabismus. In general, either large recession and resection on horizontal rectus muscles or superior oblique muscle transposition is used for treatment. We compared the results of the two methods of surgical therapy. A Total of nine eyes in nine cases underwent surgical correction for ocular alignment in the primary position, In four eyes of four cases horizontal rectus muscle surgery was performed. In five eyes of five cases superior oblique muscle transposition was performed. Postoperatively, one of four cases who underwent horizontal rectus muscle surgery and four of five cases who underwent superior obique muscle transposition resulted in acceptable ocular alignment, in which the angle of deviation at the primary position was within 2 delta. Therefore, in the treatment of congenital third nerve palsy, superior oblique muscle transposition is more effective than horizontal rectus muscle surgery for the correction of ocular alignment.
Muscles ; Oculomotor Nerve Diseases ; Oculomotor Nerve* ; Strabismus*

No abstract available.
Oculomotor Nerve Diseases*

The authors performed frontalis sling operation using autogenous levator muscle transposition for ptotic lid between February, 1989 and March, 1993. Four cases were Marcus-Gunn ptosis and one case was paralytic ptosis with aberrant regeneration in patient with oculomotor nerve palsy. The postoperative surgical results were satisfactory cosmetically.
Humans ; Oculomotor Nerve Diseases ; Regeneration

No abstract available.
Cholinesterase Inhibitors ; Oculomotor Nerve Diseases* ; Oculomotor Nerve* ; Snake Bites* ; Snakes*

No abstract available.
Neuritis ; Oculomotor Nerve ; Oculomotor Nerve Diseases ; Ophthalmoplegia ; Pupil

PURPOSE: To evaluate the effect of periosteal fixation in patients with large-angle paralytic strabismus that was not corrected through conventional strabismus surgery. METHODS: Four eyes of three patients with large-angle paralytic strabismus who underwent periosteal fixation from June 2014 to August 2014 were examined. All patients presented with exotropia > 50 prism diopters (PD). Two of them showed exotropia caused by chronic complete oculomotor nerve palsy; the other two showed exotropia caused by medial rectus muscle injury during endoscopic sinus surgery. RESULTS: The mean preoperative exodeviation using the Krimsky test was 58 ± 29 PD. The postoperative values were 6.5 ± 9.4 PD at 1 week, and 11.25 ± 2.5 PD at 6 months. The mean surgical effect of exodeviation was 43.75 ± 21.36 PD. CONCLUSIONS: Periosteal fixation is an effective surgery for the management of paralytic strabismus that was not corrected through conventional strabismus surgery.
Exotropia ; Humans ; Oculomotor Nerve Diseases ; Strabismus

Two patients were presented with painful unilateral oculomotor nerve palsy and one of them was combined with trochlear nerve palsy. First case was initially thought to have diabetic opthalmoplegia, and second case was thought to have posterior communicating or distal internal carotid aneurysms. But both had, in fact dural carotid cavernous fistula, draining posteriorly into inferior petrosal sinus. Embolization was done in these two cases, which was followed by clinical improvement in one case.
Aneurysm ; Fistula* ; Humans ; Oculomotor Nerve Diseases* ; Oculomotor Nerve* ; Trochlear Nerve Diseases

Spontaneous intracranial hypotension (SIH) is a well-known disorder improving with conservative treatment or epidural blood patch in the majority of cases. However, SIH may develop neurological complications such as cranial nerve palsy, subdural hematoma, and altered consciousness. Subdural hematoma in SIH is usually found during intracranial hypotension state and delayed subdural hematoma is rarely reported. We report a case of delayed subdural hematoma and oculomotor nerve palsy after improving spontaneous intracranial hypotension.
Blood Patch, Epidural ; Consciousness ; Cranial Nerve Diseases ; Hematoma, Subdural ; Intracranial Hypotension ; Oculomotor Nerve ; Oculomotor Nerve Diseases

40 patients who were diagnosed as the palsy of the third, fourth and sixth cranial nerve at Seoul national university hospital, were evaluated to reveal the etiology and clinical feature. The palsy of sixth cranial nerve is most common, and those of third and fourth cranial nerve followed it. Trauma was the most common cause of the palsy of the third, fourth, and sixth cranial nerve. Most of the palsy of the third cranial nerve involved both upper and lower branch, and aberrant regeneration was observed at 8 cases and its major cause was also trauma. The palsy of sixth cranial nerve was more frequently accompanied other cranial nerve palsy than those of the other two. Average recovery rate was 44.8% and, that of the sixth cranial nerve was higher than those of the other two.
Abducens Nerve Diseases* ; Abducens Nerve* ; Cranial Nerve Diseases ; Humans ; Oculomotor Nerve ; Paralysis ; Regeneration ; Seoul ; Trochlear Nerve