Academic Journal

Etiological distribution of isolated oculomotor nerve palsy: analysis of 633 patients and literature review

التفاصيل البيبلوغرافية
العنوان: Etiological distribution of isolated oculomotor nerve palsy: analysis of 633 patients and literature review
المؤلفون: Kim, Hyun‐Jae, Kim, Hyo‐Jung, Choi, Jeong‐Yoon, Yang, Hee Kyung, Hwang, Jeong‐Min, Kim, Ji‐Soo
المصدر: European Journal of Neurology ; volume 31, issue 6 ; ISSN 1351-5101 1468-1331
بيانات النشر: Wiley
سنة النشر: 2024
المجموعة: Wiley Online Library (Open Access Articles via Crossref)
الوصف: Background and purpose The etiological distribution of oculomotor nerve palsy has varied amongst the studies. This study aimed to define the clinical features and underlying etiologies of isolated oculomotor nerve palsy by recruiting patients from all departments in a referral‐based university hospital. Methods The medical records of 672 patients who had a confirmed diagnosis of isolated oculomotor nerve palsy at all departments of Seoul National University Bundang Hospital, Seongnam, South Korea, from 2003 to 2020 were reviewed. A proportion of the etiology of isolated oculomotor nerve palsy was also compared with that of patients pooled from the previous studies that were searched on PubMed in May 2022. Results The most common etiology was microvascular ( n = 168, 26.5%), followed by vascular anomalies ( n = 110, 17.4%), neoplastic ( n = 86, 13.6%), inflammatory ( n = 79, 12.5%), idiopathic ( n = 60, 9.5%) and traumatic ( n = 53, 8.4%). Neurologists were mainly involved in the management of microvascular and inflammatory oculomotor nerve palsies whilst ophthalmologists mainly participated in the care of idiopathic, neoplastic and traumatic palsies. Neurosurgeons mostly took care of oculomotor nerve palsy due to vascular anomalies. Conclusions The proportion of etiologies of isolated oculomotor nerve palsy may differ according to the specialties involved in the management. The results of previous studies on the etiological distribution of isolated oculomotor nerve palsy should be interpreted with this consideration.
نوع الوثيقة: article in journal/newspaper
اللغة: English
DOI: 10.1111/ene.16261
الاتاحة: http://dx.doi.org/10.1111/ene.16261
https://onlinelibrary.wiley.com/doi/pdf/10.1111/ene.16261
Rights: http://creativecommons.org/licenses/by-nc-nd/4.0/
رقم الانضمام: edsbas.3D07B9F2
قاعدة البيانات: BASE