WordNet

supplies extrinsic muscles of the eye (同)oculomotor_nerve, nervus_oculomotorius, third_cranial_nerve
a slight or partial paralysis

PrepTutorEJDIC

不全麻痺,局部的運動麻痺

UpToDate Contents

全文を閲覧するには購読必要です。 To read the full text you will need to subscribe.

1. 成人における第三脳神経（動眼神経）麻痺 third cranial nerve oculomotor nerve palsy in adults
2. 小児における第3脳神経（動眼神経）麻痺 third cranial nerve oculomotor nerve palsy in children
3. 小児における水平斜視の原因 causes of horizontal strabismus in children
4. トロサハント症候群 tolosa hunt syndrome
5. 小児における斜視の評価およびマネージメント evaluation and management of strabismus in children

English Journal

Esotropia Greater at Distance: Children vs Adults.

Herlihy EP, Phillips JO, Weiss AH.AbstractIMPORTANCE Esotropia greater at distance than at near can be related to abducens palsy or to divergence insufficiency. Mild abduction weakness can be difficult to detect, blurring the distinction between these 2 conditions. OBJECTIVES To examine the clinical and eye movement findings that distinguish abducens palsy from divergence insufficiency and to account for these findings based on current knowledge of vergence neurophysiology and saccadic adaptation. DESIGN Retrospective medical record review. SETTING A pediatric referral center. PARTICIPANTS The medical records of 32 patients with esotropia greater at distance seen during a 17-year period from August 1989 to July 2006 were reviewed. MAIN OUTCOME MEASURES Details regarding age, medical history, oculomotor and neurological examinations, and result of any neuroimaging studies were recorded. Eye movements were recorded in 2 subjects using binocular video-oculography. RESULTS Fifteen children and 17 adults were identified; 93.3% of the children had an underlying central nervous system disorder that coincided with the onset of their esodeviation, and 23.5% of the adult patients had an underlying central nervous system disorder. Eye movement recordings in 2 pediatric patients revealed lateral incomitance suggestive of abducens palsy not detected by clinical examination. CONCLUSIONS AND RELEVANCE The acute onset of an esodeviation greater at distance in a child is frequently associated with an underlying central nervous system disorder. Several features suggest that the children, unlike the adults, likely had a subtle abducens paresis rather than divergence insufficiency. This was confirmed by formal eye movement studies in 2 children in whom lateral incomitance was not detected clinically. The same pattern of strabismus in an otherwise healthy adult is more likely due to age-related reduction in accommodation, increased ratio of accommodative vergence to accommodation, and relative divergence insufficiency.
JAMA ophthalmology.JAMA Ophthalmol.2013 Jan 24:1-6. doi: 10.1001/jamaophthalmol.2013.1878. [Epub ahead of print]
IMPORTANCE Esotropia greater at distance than at near can be related to abducens palsy or to divergence insufficiency. Mild abduction weakness can be difficult to detect, blurring the distinction between these 2 conditions. OBJECTIVES To examine the clinical and eye movement findings that distinguis
PMID 23348517

Transient diplopia with ipsilateral abducent nerve palsy and ptosis following a maxillary local anesthetic injection: a case report and review of literature.

Kini YK, Kharkar VR, Kini AY.SourceDepartment of Oral and Maxillofacial Surgery, Rural Dental College, Loni (BK), Taluk Rahata, Ahmednagar, Maharashtra 413736, India. kini77@gmail.com
Oral and maxillofacial surgery.Oral Maxillofac Surg.2012 Dec;16(4):373-5. doi: 10.1007/s10006-011-0304-7. Epub 2011 Nov 12.
BACKGROUND: The posterior superior alveolar (PSA) nerve block is commonly used in dentistry for treatment of the maxillary molars. Although this procedure is associated with many complications, ocular complications have been rarely reported.CASE REPORT: This report details an iatrogenic paresis of t
PMID 22076250

Recovery of posterior communicating artery aneurysm-induced oculomotor nerve paresis after endovascular treatment.

Gu DQ, Luo B, Zhang X, Long XA, Duan CZ.SourceDepartment of Neurosurgery, Zhujiang Hospital, Southern Medical University, 253# Industry Road, Guangzhou, Guangdong, China.
Clinical neurology and neurosurgery.Clin Neurol Neurosurg.2012 Nov;114(9):1238-42. doi: 10.1016/j.clineuro.2012.03.016. Epub 2012 Mar 29.
OBJECTIVE: Recovery of aneurysm-induced oculomotor nerve paresis (ONP) after endosaccular coiling has not yet been adequately assessed. The aim of this study was to investigate the factors that affect the outcome of ONP after endovascular treatment of posterior communicating artery (PcomA) aneurysms
PMID 22464656

Japanese Journal

上下直筋全幅移動術が奏効した動眼神経不全麻痺の1例 (特集第65回日本臨床眼科学会講演集(5))

増谷洋子,友松威,高村佳弘 [他]
臨床眼科 66(7), 987-990, 2012-07
NAID 40019385700

Clinico-anatomical Analysis of the Fibers to the Inferior Rectus Muscle in the Oculomotor Fascicles

Tsuda Hiromasa,Tanaka Kozue
Internal Medicine 51(15), 2031-2034, 2012
… We report two cases of isolated unilateral pupil-sparing partial fascicular oculomotor paresis. … These results suggest that the fibers to IR may be located in the most rostral portion of the oculomotor fascicles. …
NAID 130002062276