Is ophthalmoplegia the manifestation of myasthenia

summary

Myasthenia is no stranger to everyone. Myasthenia is usually caused by many reasons, usually accompanied by a series of adverse symptoms. Now let's talk about whether ophthalmoplegia is the manifestation of muscle weakness.

Is ophthalmoplegia the manifestation of myasthenia

First, oculomotor paralysis is paralytic strabismus, which is mainly seen in one eye and few in both eyes. The age of oculomotor paralysis is mostly seen in the middle and old age, and it is rare in teenagers and children. Oculomotor paralysis includes paralysis of rectus muscle of upper eyelid, superior rectus muscle, inferior rectus muscle, inferior oblique muscle and pupillary sphincter, resulting in ptosis, exotropia and inability to turn up, down and down The pupil dilated and turned inward.

Second, partial paralysis is characterized by the involvement of the above-mentioned ocular muscles. Abducens nerve or trochlear nerve palsy is not easy to be confused with myasthenia gravis because of no ptosis. All of the above are accompanied by obvious diplopia. The symptoms of extraocular muscle paralysis are not serious in the morning and evening, and there is no weakness of limbs and hypopharyngeal muscles. In the early stage of onset, many patients have significant unilateral headache.

Third: myasthenia gravis has no headache. Most of the blepharoptosis caused by oculomotor nerve palsy is severe. It is often completely closed or nearly closed, and there is no feeling of heavy eyelid drop. Clinically, a few patients initially look like ophthalmoplegia, but a few weeks later they are found to be myasthenia gravis.

matters needing attention

Patients with ophthalmoplegia will have eyes can not turn up and down, also can not turn inside, which will bring bad effects to patients, affect the normal work and study of patients, so patients had better go to the hospital for detailed examination, so that they can find the cause of their own disease, so as to carry out symptomatic treatment.