Analysis of clinical profile and outcome in patients with multiple cranial nerve palsies in ophthalmology practice.

Dr. Rejitha Chinnu Varghese; Dr. Rajarathna Hegde; Dr Tariq Ahmed; Dr. Sithara Sara Oomman; Dr. Rashmi S.

Volume : VII, Issue : II, February - 2017

Analysis of clinical profile and outcome in patients with multiple cranial nerve palsies in ophthalmology practice.

Dr. Rejitha Chinnu Varghese, Dr. Rajarathna Hegde, Dr Tariq Ahmed, Dr. Sithara Sara Oomman, Dr. Rashmi S.

Abstract :

Patients with multiple cranial nerve palsies pose a unique diagnostic challenge. They need to be carefully evaluated neurologically, ophthalmologically, systemically and radiologically for a prompt and accurate diagnosis. This can be an overwhelming task because locations and causes of multiple cranial nerve involvement are highly diverse. Tumour, vascular disease, trauma, infection, and Guillain–Barre/ Fisher syndromes are the most frequent causes. We report and analyse the clinical presentation, the course in hospital, management and outcome of seven patients who presented with diminished vision, external ophthalmoplegia, ptosis and lagophthalmos.