Abstract
An: 2019, Nr.1, Articol Nr. 8
Title: 

OCULAR MOTOR NERVE PALSIES ASSOCIATED WITH STROKE. STATISTICAL ANALYSIS

Authors: 

      Cristina Maria Nechifor (Lupu), G. Lupu, Laura Stroică, Al.G. Lupu, Al.T. Ispas - “Carol Davila” University of Medicine and Pharmacy, Department of Anatomy
      OCULAR MOTOR NERVE PALSIES ASSOCIATED WITH STROKE. STATISTICAL ANALYSIS (Abstract): Introduction. The main causes for IIIrd, IVth and VIth cranial nerves palsies are head trauma, aneurysms, neoplasms and microvascular lesions. Ocular motor cranial nerve palsies are also associated with stroke. The aim of this study is to determine the prevalence of ocular motor nerves palsies in patients with stroke, to evaluate the type of palsies associated with location of stroke, side of the lesion and symptoms. Material and methods. This retrospective study included 200 patients diangnosed with stroke and admitted in Emergency Clinic Hospital Bucharest between January 2016-January 2019. The patients were diagnosed with stroke and investigated for visual symptoms.Results. 9% of stroke patiens presented IIIrd, IVth and VIth cranial nerves palsies. From the 18 patiens with nerve palsies, in 11 cases the 6th cranial nerve was affected, in 5 cases the 3rd cranial nerve was affected, and in 2 cases the 4th cranial nerve was affected. The location of the stroke was cortical in 80 cases, brainstem and cerebellum in 91 cases and mixed in 29 cases. Conclusions. Brainstem and cerebellum strokes are mostly associated with ocular motor cranial nerves palsies, and the VIth cranial nerve is afected in the majority of cases. Recognizing these palsies in stroke patients is important because the patients which associate stroke with ocular motor cranial nerve palsy have a higher risk for developing a new stroke.
Key words: STROKE, BRAINSTEM, CORTICAL, PALSY, CRANIAL NERVE, OCULAR SYMPTOMS
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