Ischemic ocular motor nerve palsy in three patients with end-stage renal disease.
Three patients on long-term hemodialysis therapy presented with sudden-onset isolated abducent nerve palsy. Two patients had ipsilateral eye pain. Computed tomographic scan or magnetic resonance imaging of the head did not reveal intracranial lesions responsible for the palsy. During the follow-up, the abducent nerve palsy of all three patients was resolved. Based on these findings, the three patients were diagnosed as having ischemic ocular motor nerve palsy. Although patients with end-stage renal disease often possess risk factors for ischemic ocular motor nerve palsy (hypertension, diabetes and atherosclerosis), the occurrence of ischemic ocular motor nerve palsy in the course of end-stage renal disease is rare.
Orio Clinic, Yahatanishi-ku, Kitakyusyu 807-0825, Japan.
Norikuni
N
Komine
Keiko
K
Ohnari
Miki
M
Murakami
Kaori
K
Kawata
Kanako
K
Suzuka
Tomochika
T
Nakamata
D000368:Aged; D050197:Atherosclerosis / Q000150:complications; D048909:Diabetes Complications; D005260:Female; D006801:Humans; D006973:Hypertension / Q000150:complications; D007676:Kidney Failure, Chronic / Q000150:complications* / Q000628:therapy; D008297:Male; D008875:Middle Aged; D015840:Oculomotor Nerve Diseases / Q000175:diagnosis / Q000209:etiology*; D018917:Optic Neuropathy, Ischemic / Q000175:diagnosis / Q000209:etiology*; D012075:Remission, Spontaneous; D006435:Renal Dialysis; D012307:Risk Factors