Ocular palsies in the absence of other neurological or ocular symptoms: Analysis of 105 cases

A. P. Batocchi, A. Evoli, L. Majolini, M. Lo Monaco, L. Padua, E. Ricci, A. Dickman, P. Tonali

Research output: Contribution to journalArticlepeer-review

Abstract

We studied prospectively 105 unselected patients complaining of ptosis and/or diplopia due to extrinsic ophthalmic muscle palsies without other neurological signs. All patients underwent the same diagnostic protocol. The presenting symptoms were: ptosis, 35 patients (33%); diplopia, 27 patients (26%); ptosis and diplopia, 43 patients (41%). The oculomotor nerve was most frequently involved, followed by the abducens nerve. The final diagnoses were: ocular myasthenia, intracranial and/or orbital pathology, thyroid ophthalmopathy, diabetic ophthalmoplegia, mitochondrial myopathy, oculopharyngeal muscular dystrophy. In 26 patients (25%) the cause remained undetermined. Our study confirms the difficulty of establishing an aetiological diagnosis in patients with isolated ocular palsies.

Original languageEnglish
Pages (from-to)639-645
Number of pages7
JournalJournal of Neurology
Volume244
Issue number10
DOIs
Publication statusPublished - 1997

Keywords

  • Diplopia
  • Ocular myasthenia
  • Ocular palsies
  • Ptosis

ASJC Scopus subject areas

  • Clinical Neurology
  • Neurology

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