A Prospective Study on 132 Cases of Ocular Palsy

作者：Castelluccia A; Nociti V; Frisullo G; Batocchi A P^*

来源：European Neurology, 2013, 70(1-2): 10-15.

DOI：10.1159/000348717

• Diplopia
• Internuclear ophthalmoplegia
• Ocular myasthenia
• Ocular palsies
• Ptosis

Objectives: In this prospective study, we used one diagnostic protocol to establish an early diagnosis in patients with ocular palsies in absence of other neurological findings. Materials and Methods: The study was performed on a consecutive series of 132 patients who visited our Neurological Department for ptosis and/or diplopia in absence of other neurological signs, using the same diagnostic protocol. Results:An etiological diagnosis was made in 74% of cases during a mean time of 17 +/- 23 months from symptom onset. Myasthenia gravis was the most common diagnosis (n = 60, 45.5%). Thirty-four cases (26%) remained undiagnosed in spite of a follow-up lasting 32 +/- 33 months on average. Conclusions:Identifying the cause of an isolated ocular palsy can be difficult, and an extended follow-up time does not aid in further establishment of the diagnosis.

• 出版日期2013