title: [Principles and results of treatment in acquired paralysis of III, IV and VI nerves].
abstract: Between 1979-1994 120 patients with acquired paralysis of cranial nerves of ocular muscles were treated: 33 cases with paralysis of oculomotor nerve, 43 cases with paralysis of trochlear nerve, 44 cases with paralysis of abducens nerve. The majority of our patients were males (84-70.0%) aged 21-40 years (65-54.2%). The paralysis was most frequently caused by traffic accidents (45 cases--37.5%) and assaults (26 cases--21.7%). The most common symptom of paralysis was diplopia (109 patients--90.8%). Only 12 persons (10.0%) were admitted during the first month of paralysis and visual disorders caused by it. In our group 18 patients (15.0%) were treated conservatively. Sixteen patients (13.3%) were given injections of botulin toxin A into the eye muscles. Surgical treatment, usually of several ocular muscles, was performed in 83 cases (67.5%) when diplopia was not reduced after 6-12 months. The method of surgery and results are presented.
authors.affiliation: Pracowni Patofizjologii Widzenia i Neurookulistyki przy Katedrze Okulistyki Collegium Medicum UJ, Kraków.
authors.forename: A
authors.initials: A
authors.lastname: Kubatko-Zielińska
authors.forename: K M
authors.initials: KM
authors.lastname: Krzystkowa
authors.forename: A
authors.initials: A
authors.lastname: Madroszkiewicz
authors.forename: E
authors.initials: E
authors.lastname: Wójcik
authors.forename: E
authors.initials: E
authors.lastname: Filipowicz
mesh_terms: D020222:Abducens Nerve Injury; D000293:Adolescent; D000328:Adult; D000368:Aged; D001905:Botulinum Toxins / Q000627:therapeutic use; D002648:Child; D002675:Child, Preschool; D003389:Cranial Nerve Diseases / Q000209:etiology / Q000628:therapy*; D004172:Diplopia / Q000209:etiology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000150:complications; D009801:Oculomotor Muscles / Q000294:innervation / Q000601:surgery; D015840:Oculomotor Nerve Diseases / Q000209:etiology / Q000628:therapy; D061220:Oculomotor Nerve Injuries; D010243:Paralysis / Q000209:etiology / Q000628:therapy*; D061247:Trochlear Nerve Injuries; D014652:Vascular Diseases / Q000150:complications
chemical_list: D001905:Botulinum Toxins
vernacular_title: Zasady i wyniki leczenia w nabytych porazeniach nerwów III, IV i VI.