4TH NERVE PALSY - HISTORICAL REVIEW AND STUDY OF 215 INPATIENTS

4TH NERVE PALSY - HISTORICAL REVIEW AND STUDY OF 215 INPATIENTS
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DOI:
10.1212/wnl.43.12.2439
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发表时间:
1993-12-01
期刊:
影响因子:
9.9
通讯作者:
KEANE, JR
KEANE, JR
中科院分区:
医学1区
文献类型:
--
作者:
KEANE, JR

文献摘要

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A review of inpatient trochlear nerve pareses diagnosed over 23 years revealed head trauma as the principal cause, with surgical injury, inflammation, and brain tumors seen occasionally. Ischemic (microvascular) neuropathies were rare. About one-half of the patients (52%) had no other neuro-ophthalmologic signs, but only 5% were truly isolated, without other neurologic or ophthalmologic signs or symptoms. Fourth nerve palsies are underdiagnosed on hospital services, where stuporous patients encounter unsuspecting physicians.