Occulomotor nerve palsy causes Flashcards
1
Q
Definition
A
Ocular pathology resulting from damage to the 3rd cranial nerve
2
Q
Aetiology
A
Vascular ischemia (lack of blood supply)
—- diabetes mellitus and hypertension can cause ischemic changes in the nerve and are the most systemic causes of acquired nerve palsy
Intracranial neoplasm
Haemorrhage
Congenital (birth)
Aneurysm of the posterior communicating artery ( most common)
Infarction of the 3rd cranial nerve (diabetes or atheroma)
Coning of the temporal lobe
Midbrain infarction
Midbrain tumour
Trauma (12% of cases)
Can be idiopathic
3
Q
Risk factors
A
DM
Hypertension
Vasculitis
Trauma
Infections
Tumour
Aneurysm
4
Q
Symptoms
A
Causes unilateral, complete ptosis (where the eyelid droops)