在获得第四头骨神经麻的患者中扭曲和临床特征
Heeyoung Choi1, Sang Yoon Kim2, Su-Jin Kim3
1Department of Ophthalmology, School of Medicine, Pusan National University, Biomedical Research Institute, Pusan National University Hospital, Busan, South Korea.
Scientific reports
|March 28, 2024
概括
这项研究发现,患有缺血性原因和晚年患者获得的三神经麻患者更有可能完全康复. 较小的偏差和较少的主观扭曲表明,在获得的第四头骨神经麻中,结果更好.
科学领域:
- 眼科医生 眼科 眼科
- 神经学 神经学
背景情况:
- 获得的三神经麻 (第四头骨神经麻) 可能是各种病因的结果,影响眼睛对齐,并可能导致双重视力.
- 了解与康复相关的因素对于患者的管理和预后至关重要.
研究的目的:
- 为了比较客观和主观扭曲,以及其他临床特征,在获得的三神经麻的患者中.
- 在这个患者群体中,确定与完全恢复相比部分/没有恢复相关的临床特征.
主要方法:
- 在2014年至2021年期间,对82名被诊断为获得第四头骨神经麻的患者进行了回顾性分析.
- 病因被分类 (缺血性,创伤性,脑病变,特异性,其他),并根据康复状态分组患者 (完全或部分/没有康复).
- 眼睛偏差,客观/主观扭曲 (包括兰开斯特红绿测试 - LRGT) 和头部倾斜都被审查并与各组进行了比较.
主要成果:
- 最常见的原因是缺血 (59.7%),其次是创伤 (19.5%).
- 在68.3%的患者中,观察到完全康复.
- 完全恢复与年龄较大,缺血病因,垂直偏差角度较小,LRGT上的倾斜较小,主观扭曲和头部倾斜的情况较少有关.
结论:
- 缺血性三神经麻,晚年,较小的初始偏差,以及LRGT上的最小的excyclotorsion是完全康复组的特征.
- 这些发现有助于预测获得的单边三神经麻的康复结果.
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