Neuro-ophthalmologic Evaluation of the Third, Fourth and Sixth Cranial Nerve Paralysis.

Kim, Sung Sig; Jin, Kyung Hyun; Kim, Sang Min

Original Article

Journal of the Korean Ophthalmological Society 1991;32(4):283-288.
Published online April 1, 1991.

Neuro-ophthalmologic Evaluation of the Third, Fourth and Sixth Cranial Nerve Paralysis.

Sung Sig Kim, Kyung Hyun Jin, Sang Min Kim

Department of Ophthalmology, College of Medicine, Kyung Hee University, Korea.

제 3 , 4 , 6 뇌신경마비의 신경안과적 관찰

김성식(Sung Sig Kim),진경현(Kyung Hyun Jin),김상민(Sang Min Kim)

Abstract

A series of 250 patients with paralysis of the third, fotrth and sixth cranial nerves, who were diagnosed at Kyung Hee University Hospital, was analyzed. All patients with a neuroophthalmologic problem who visited the Dept. of Ophthalmology or had a consultation from another were included. There were 116 cases(46.4%) of sixth nerve paralysis, 88 cases(35.2%) of third nerve paralysis, 24 cases(9.6%) of fourth nerve paralysis, and 22 cases(8.8%) of multiple cranial nerve involvement. The etiologic incidence of the third, fourth and sixth cranial nerve paralysis revealed that trauma was the most frequent(86 cases); other causes were undetermined(59 cases), vascular(37 cases) and tumor(17 cases), in that order. The most common type of recovery was with the fourth nerve paralysis(41.7%).

Key Words: Paralysis of the third;fourth and sixth cranial nerve;etiologic incidence;recovery