The pathogeny and treatment of hospitalized patients with ophthalmoplegia

Objective To probe the pathogenesis and treatment of ophthalmoplegia syndrome.Methods Retrospective study was performed in 46 hospitalized cases with ophthalmoplegia syndrome.They were diagnosed and treated based on neuro-ophthalmological examination,laboratory test,CT,MRI,DSA and so on.Results Among the factors responsible for opthalmoparalysis,intracranial aneurysms took the first place(16/46),followed by painful ophthalmoplegia syndrom(8/46),diabetes(8/46),craniocerebral injury(6/46),intracranial infection(4/46),medial rectus injury(2/46).As to the cranial nerves involved,oculomotor nerves ranked the first,followed by abducens nerve,nevertheless,trochlear nerve paralysis was relatively rare.Good outcomes were achieved through appropriate remedy.Conclusions The etiology for ophthalmoplegia syndrome was somehow complex.Careful examination and proper treatment option were required for this intricate syndrome.