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Nomogram model for predicting oculomotor nerve palsy in patients with intracranial aneurysm

International Journal of Ophthalmology(English edition) 2022年第8期15卷 1316-1321页

作者： Yuan-Yue Cui Bin Wang Bo Jiang Shi-Hong Zhao Department of Ophthalmology Shanghai Children’s Medical CenterSchool of MedicineShanghai Jiao Tong UniversityShanghai 200127China Department of Neurosurgery Peking University International HospitalBeijing 102206China Department of Ophthalmolohy Anhui No.2 Provincial People’s HospitalHefei 230041Anhui ProvinceChina Nanjing Aier Eye Hospital Aier School of OphthalmologyCentral South UniversityChangsha 410015Hunan PronvinceChina Department of Ophthalmology the First Affiliated HospitalNaval Military Medical UniversityShanghai 200433China

AIM:To explore the risk factors of oculomotor nerve palsy(ONP)in patients with intracranial aneurysm(IA)and develop a nomogram model for predicting ONP of IA ***:A total of 329 IA patients were *** regression analysis was applied to identify independent factors,which were then integrated into the nomogram *** performance of the nomogram model was evaluated by calibration cur ve,receiver operating curve(ROC),and decision curve ***:Univariate and multivariate logistic regression analysis indicated posterior communicating artery(PCo A)aneur ysm[hazard ratio(HR)=17.13,P<0.001]and aneurysm diameter(HR=1.31,P<0.001)were independent risk factors of ONP in IA *** on the results of logistic regression analysis,a nomogram model for predicting the ONP in IA patients was *** calibration curve indicated the nomogram had a good agreement between the predictions and *** nomogram showed a high predictive accuracy and discriminative ability with an area under the curve(AUC)of *** decision curve analysis showed that the nomogram was powerful in the clinical *** A aneurysm(HR=3.38,P=0.015)was identified to be the only independent risk factor for ONP ***:PCo A aneurysm and aneurysm diameter are independent risk factors of ONP in IA *** nomogram established is performed reliably and accurately for predicting *** A aneurysm is the only independent risk factor for ONP severity.

关键词： intracranial aneurysm oculomotor nerve palsy Logistic regression analysis posterior communicating artery nomogram

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Etiological Analysis of 248 Cases of oculomotor nerve palsy

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Journal of Clinical and Nursing Research 2024年第7期8卷 287-290页

作者： Bo Xia Dandan Zhao Hefei Southeast Eye Hospital Hefei 230000Anhui ProvinceChina Nanjing Southeast Eye Hospital Nanjing 210000Jiangsu ProvinceChina

Objective:To explore the main causes of oculomotor nerve palsy,providing a reference for clinical diagnosis and ***:A total of 248 patients with oculomotor nerve palsy treated in the hospital from January 2016 to January 2018 were selected,and their causes and treatments were ***:This study found that the main causes of oculomotor nerve palsy were intracranial aneurysms,brain stem lesions,and brain inflammation.A few cases were due to viral infections and congenital oculomotor nerve palsy,while some patients had unknown *** treatment in our hospital,most patients experienced relief,although 12 patients ***:The etiology of oculomotor nerve palsy is complex,and choosing appropriate drugs during treatment is *** identification of the cause is an effective method for treatment.

关键词： oculomotor nerve palsy Etiology Analysis

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Microvascular decompression for a patient with oculomotor palsy caused by posterior cerebral artery compression:A case report and literature review

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World Journal of Clinical Cases 2022年第20期10卷 7138-7146页

作者： Jian Zhang Zheng-Jun Wei Hang Wang Yan-Bing Yu Hong-Tao Sun Tianjin Key Laboratory of Neurotrauma Repair Institute of Traumatic Brain Injury and NeuroscienceCharacteristic Medical Center of Chinese People’s Armed Police ForceTianjin 300162China Department of Neurosurgery China-Japan Friendship HospitalBeijing 100069China

BACKGROUND Aneurysm compression,diabetes,and traumatic brain injury are well-known causative factors of oculomotor nerve palsy(ONP),while cases of ONP induced by neurovascular conflicts have rarely been reported in the medical ***,we report a typical case of ONP caused by right posterior cerebral artery(PCA)compression to increase neurosurgeons’awareness of the disease and reduce misdiagnosis and *** SUMMARY A 54-year-old man without a known medical history presented with right ONP for the past 5 *** patient presented to the hospital with right ptosis,diplopia,anisocoria(rt 5 mm,lt 2.5 mm),loss of duction in all directions,abduction,and light impaired pupillary *** resonance angiography and computed tomography venography examinations showed no phlebangioma,aneurysm,or intracranial *** conducting oral glucose tolerance and prostigmin tests,diabetes and myasthenia gravis were *** nerve magnetic resonance imaging showed that the right PCA loop was in direct contact with the cisternal segment of the right oculomotor nerve(ON).Microvascular decompression(MVD)of the culprit vessel from the ON through a right subtemporal craniotomy was carried out,and the ONP symptoms were significantly relieved after 3 *** Vascular compression of the ON is a rare pathogeny of ONP that may be refractory to drug therapy and ophthalmic strabismus *** is an effective treatment for ONP induced by neurovascular compression.

关键词： Microvascular decompression oculomotor nerve palsy oculomotor nerve Magnetic resonance imaging Posterior cerebral artery Neurovascular conflict Case report

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Electroacupuncture therapy for ophthalmoplegia:a case series

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World Journal of Acupuncture-Moxibustion 2017年第2期27卷 6-10,47页

作者：刘志丹忽俊周伟康上海市宝山区中西医结合医院针灸科上海201999 上海市宝山区中西医结合医院眼科上海201999 南京中医药大学基础医学院南京210046

Objective To probe the effective therapy for electroacupuncture treatment of *** Twelve patients diagnosed with ophthalmoplegia were treated with acupuncture for 6–14 weeks,three times per week,until recovery was *** Eleven patients recovered completely after 2–3 months,and one patient recovered after 6 *** recurrence was obser ved among all patients within 6–12 *** Electroacupuncture treatment improved eye movement and the quality of life of 12 patients with ***,randomised controlled studies are needed to verify the efficacy of electroacupuncture treatment.

关键词： Acupuncture electroacupuncture ophthalmoplegia oculomotor nerve palsy abducent paralysis

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