What symptom does periodic oculomotor nerve paralysis have?

summary

Periodic oculomotor paralysis is a rare clinical phenomenon in which paralysis and spasm occur regularly in the internal and external muscles of the eye dominated by the oculomotor nerve. This disease was first reported by rampoldi in 1884, which was approved by axenfeld and Schurenberg, so it is also called axenfeld Schurenberg syndrome. Lowenstein and Givner advocated that the naming of "periodic oculomotor paralysis" is the most correct. Tell you about me.

What symptom does periodic oculomotor nerve paralysis have?

This disease is a group of syndrome that oculomotor nerve innervates the internal and external muscles of the eye and alternates with paralysis and spasm. The periodic changes of paralysis and spasm mostly occur at the beginning of the disease, and a few appear spasm after several years of oculomotor nerve paralysis. This phenomenon remains unchanged for life.

It can be shown as periodic changes of all muscles innervated by oculomotor nerve, or only part of muscles innervated by oculomotor nerve. The clinical manifestations can be divided into paralysis and spasm. Generally, there is a cycle of paralysis and spasm every 1-4 minutes. The attack time is day and night, and does not stop after sleeping.

Paralytic phase: or paralytic phase, complete paralysis of the muscles innervated by the oculomotor nerve of the affected side, including ptosis, limitation of inward, upward and downward rotation of the eyeball, normal or too strong outward rotation, exotropia of the eyeball, dilation of the pupil, disappearance of light response, and disappearance or weakening of accommodative divergence.

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