Oculomotor Nerve Injuries
Oculomotor Nerve Diseases
Oculomotor Nerve
Ophthalmoplegia
Mydriasis
Trochlear Nerve
Abducens Nerve
Anisocoria
Ink
Parasympathetic Fibers, Postganglionic
Sciatic Nerve
Cerebral Aqueduct
Cranial Nerves
Neurotization of oculomotor, trochlear and abducent nerves in skull base surgery. (1/6)
OBJECTIVE: To anatomically reconstruct the oculomotor nerve, trochlear nerve, and abducent nerve by skull base surgery. METHODS: Seventeen cranial nerves (three oculomotor nerves, eight trochlear nerves and six abducent nerves) were injured and anatomically reconstructed in thirteen skull base operations during a period from 1994 to 2000. Repair techniques included end-to-end neurosuture or fibrin glue adhesion, graft neurosuture or fibrin glue adhesion. The relationships between repair techniques and functional recovery and the related factors were analyzed. RESULTS: Functional recovery began from 3 to 8 months after surgery. During a follow-up period of 4 months to 6 years, complete recovery of function was observed in 6 trochlear nerves (75%) and 4 abducent nerves (67%), while partial functional recovery was observed in the other cranial nerves including 2 trochlear nerves, 2 abducent nerves, and 3 oculomotor nerves. CONCLUSIONS: Complete or partial functional recovery could be expected after anatomical neurotization of an injured oculomotor, trochlear or abducent nerve. Our study demonstrated that, in terms of functional recovery, trochlear and abducent nerves are more responsive than oculomotor nerves, and that end-to-end reconstruction is more efficient than graft reconstruction. These results encourage us to perform reconstruction for a separated cranial nerve as often as possible during skull base surgery. (+info)Incomplete oculomotor nerve palsy caused by an unruptured internal carotid-anterior choroidal artery aneurysm--case report--. (2/6)
A 59-year-old woman visited our institute with the chief complaint of dizziness which persisted whenever she tried to focus on objects. She had not experienced apparent double vision and had no history of intracranial bleeding. Neurological examination revealed no abnormality except for exotropia at the mid-position and at upper gaze. Cerebral angiography revealed that the intracranial portion of the left internal carotid artery ran more horizontally and also identified an unruptured left internal carotid-anterior choroidal artery (IC-AChA) aneurysm of 3.0 mm diameter. The aneurysm at the origin of the AChA was confirmed during surgery. The proximal lateral wall of the aneurysm was in contact with the oculomotor nerve. This contact was released after complete obliteration of the aneurysm. The exotropia resolved 3 months later. Oculomotor nerve palsy usually indicates the presence of internal carotid-posterior communicating artery (IC-PcomA) aneurysm. Since sacrifice of the AChA will result in severe neurological deficits, accurate neuroimaging information is needed prior to the operation. Conventional angiography and/or three-dimensional computed tomography angiography should be performed to ascertain whether the aneurysm is an IC-PcomA or IC-AChA aneurysm, even if some neurosurgeons insist that conventional angiography is not always needed before surgery for an unruptured aneurysm. (+info)Comparison of the risk of oculomotor nerve deficits between detachable balloons and coils in the treatment of direct carotid cavernous fistulas. (3/6)
(+info)Isolated third nerve palsy from mild closed head trauma. (4/6)
(+info)Retrograde horseradish peroxidase transport after oculomotor nerve injury. (5/6)
We studied the distribution of somatic motor neurons innervating the cat superior rectus 3-6 months after oculomotor nerve injury using intramuscular horseradish peroxidase (HRP). In normal cats, 98% or more of the labelled superior rectus motoneurons were in the contralateral oculomotor subnucleus. Two experimental cats who exhibited little or no evidence of recovery showed few labelled cells (4% of controls) which were distributed in both the ipsilateral and contralateral oculomotor nucleus. The other three experimental cats demonstrated definite signs of recovery, and HRP injections labelled more cells (20% of controls) also distributed in the ipsilateral and contralateral oculomotor subnuclei. This study shows that, after sectioning, the oculomotor nerve regenerates and anomalous connections develop between the somatic motoneurons of the ipsilateral oculomotor nucleus and the superior rectus. These findings support the hypothesis that acquired oculomotor synkinesis developing after third nerve injury results from misdirection of regenerating axons. (+info)Traumatic third nerve palsy. (6/6)
Twenty patients with a traumatic third nerve palsy had sustained a closed head injury with prolonged loss of consciousness in a high-speed deceleration accident. Sixteen were male, and the average age was 25 years. Seven had skull or facial fractures, 15 damage to the anterior visual pathways, and 16 other permanent neurological damage. Nineteen developed the misdirection/regeneration syndrome. Thirteen had strabismus surgery, and an area of binocular single vision was enlarged or achieved in three. (+info)Oculomotor nerve injuries refer to damage or trauma to the oculomotor nerve, also known as the third cranial nerve (CN III). This nerve originates in the midbrain and controls several important functions of the eye. These functions include:
1. Constriction of the pupil (parasympathetic function)
2. Elevation of the eyelid (levator palpebrae superioris muscle)
3. Movement of the eye inward (medial rectus muscle), upward (superior rectus muscle), and downward (inferior rectus muscle)
4. Rotation of the eye outward (inferior oblique muscle) when looking downward
Injuries to the oculomotor nerve can result in various symptoms, such as:
1. Ptosis (drooping of the upper eyelid)
2. Diplopia (double vision) due to misalignment of the eyes
3. Mydriasis (dilated pupil) on the affected side
4. Poor or absent convergence (inability to bring both eyes inward to focus on a nearby object)
5. Eyeball position may be turned down and out (known as "down and out" position)
Oculomotor nerve injuries can occur due to various reasons, such as head trauma, aneurysms, tumors, or other neurological conditions. Treatment depends on the underlying cause and severity of the injury and may include surgical intervention, medications, or observation.
The oculomotor nerve, also known as the third cranial nerve (CN III), is responsible for controlling several important eye movements and functions. Oculomotor nerve diseases refer to conditions that affect this nerve and can lead to various symptoms related to eye movement and function. Here's a medical definition of oculomotor nerve diseases:
Oculomotor nerve diseases are a group of medical disorders characterized by the dysfunction or damage to the oculomotor nerve (CN III), resulting in impaired eye movements, abnormalities in pupillary response, and potential effects on eyelid position. These conditions can be congenital, acquired, or traumatic in nature and may lead to partial or complete paralysis of the nerve. Common oculomotor nerve diseases include oculomotor nerve palsy, third nerve ganglionopathies, and compressive oculomotor neuropathies caused by various pathologies such as aneurysms, tumors, or infections.
The oculomotor nerve, also known as the third cranial nerve (CN III), is a motor nerve that originates from the midbrain. It controls the majority of the eye muscles, including the levator palpebrae superioris muscle that raises the upper eyelid, and the extraocular muscles that enable various movements of the eye such as looking upward, downward, inward, and outward. Additionally, it carries parasympathetic fibers responsible for pupillary constriction and accommodation (focusing on near objects). Damage to this nerve can result in various ocular motor disorders, including strabismus, ptosis, and pupillary abnormalities.
Peripheral nerve injuries refer to damage or trauma to the peripheral nerves, which are the nerves outside the brain and spinal cord. These nerves transmit information between the central nervous system (CNS) and the rest of the body, including sensory, motor, and autonomic functions. Peripheral nerve injuries can result in various symptoms, depending on the type and severity of the injury, such as numbness, tingling, weakness, or paralysis in the affected area.
Peripheral nerve injuries are classified into three main categories based on the degree of damage:
1. Neuropraxia: This is the mildest form of nerve injury, where the nerve remains intact but its function is disrupted due to a local conduction block. The nerve fiber is damaged, but the supporting structures remain intact. Recovery usually occurs within 6-12 weeks without any residual deficits.
2. Axonotmesis: In this type of injury, there is damage to both the axons and the supporting structures (endoneurium, perineurium). The nerve fibers are disrupted, but the connective tissue sheaths remain intact. Recovery can take several months or even up to a year, and it may be incomplete, with some residual deficits possible.
3. Neurotmesis: This is the most severe form of nerve injury, where there is complete disruption of the nerve fibers and supporting structures (endoneurium, perineurium, epineurium). Recovery is unlikely without surgical intervention, which may involve nerve grafting or repair.
Peripheral nerve injuries can be caused by various factors, including trauma, compression, stretching, lacerations, or chemical exposure. Treatment options depend on the type and severity of the injury and may include conservative management, such as physical therapy and pain management, or surgical intervention for more severe cases.
Ophthalmoplegia is a medical term that refers to the paralysis or weakness of the eye muscles, which can result in double vision (diplopia) or difficulty moving the eyes. It can be caused by various conditions, including nerve damage, muscle disorders, or neurological diseases such as myasthenia gravis or multiple sclerosis. Ophthalmoplegia can affect one or more eye muscles and can be partial or complete. Depending on the underlying cause, ophthalmoplegia may be treatable with medications, surgery, or other interventions.
Mydriasis is a medical term that refers to the dilation or enlargement of the pupil, which is the black circular opening in the center of the iris (the colored part) of the eye. The pupil normally adjusts its size in response to changes in light levels and emotional state. In mydriasis, the pupil becomes widely dilated and less responsive to light. This can occur naturally due to factors such as strong emotions, fear, or physical exertion, but it can also be caused by certain medications, eye drops, or medical conditions like brain injuries or neurological disorders. It is important to note that mydriasis can affect one or both eyes and may have different clinical significance depending on the context.
The trochlear nerve, also known as the fourth cranial nerve (CN IV), is a nerve that originates in the midbrain and innervates the superior oblique muscle of the eye. This muscle helps with the downward and outward movement of the eye, playing a crucial role in controlling eye movements and maintaining binocular vision. The trochlear nerve's main function is to provide motor (efferent) innervation to the superior oblique muscle, enabling fine-tuning of eye movements during activities such as reading, writing, or driving. Damage to this nerve can result in vertical diplopia (double vision), strabismus (eye misalignment), and other visual impairments.
The abducens nerve, also known as the sixth cranial nerve (CN VI), is a motor nerve that controls the lateral rectus muscle of the eye. This muscle is responsible for moving the eye away from the midline (towards the temple) and enables the eyes to look towards the side while keeping them aligned. Any damage or dysfunction of the abducens nerve can result in strabismus, where the eyes are misaligned and point in different directions, specifically an adduction deficit, also known as abducens palsy or sixth nerve palsy.
Anisocoria is a medical term that refers to an inequality in the size of the pupils in each eye. The pupil is the black, circular opening in the center of the iris (the colored part of the eye) that allows light to enter and strike the retina. Normally, the pupils are equal in size and react similarly when exposed to light or darkness. However, in anisocoria, one pupil is larger or smaller than the other.
Anisocoria can be caused by various factors, including neurological conditions, trauma, eye diseases, or medications that affect the pupillary reflex. In some cases, anisocoria may be a normal variant and not indicative of any underlying medical condition. However, if it is a new finding or associated with other symptoms such as pain, headache, vision changes, or decreased level of consciousness, it should be evaluated by a healthcare professional to determine the cause and appropriate treatment.
I'm sorry for any confusion, but "ink" is not a term that has a medical definition. Ink is a substance used for writing or printing, typically consisting of a colored pigment mixed with a liquid to make it flow. If you have any questions related to medicine or health, I would be happy to try and help answer those for you!
Parasympathetic fibers, postganglionic, refer to the portion of the parasympathetic nervous system's peripheral nerves that arise from ganglia (clusters of neurons) located near or within the target organs. These postganglionic fibers are responsible for transmitting signals from the ganglia to the effector organs such as glands, smooth muscles, and heart, instructing them to carry out specific functions.
The parasympathetic nervous system is one of the two subdivisions of the autonomic nervous system (the other being the sympathetic nervous system). Its primary role is to conserve energy and maintain homeostasis during rest or digestion. The preganglionic fibers originate in the brainstem and sacral spinal cord, synapsing in the ganglia located near or within the target organs. Upon receiving signals from the preganglionic fibers, the postganglionic fibers release neurotransmitters like acetylcholine to activate muscarinic receptors on the effector organ, leading to responses such as decreased heart rate, increased gastrointestinal motility and secretion, and contraction of the urinary bladder.
The sciatic nerve is the largest and longest nerve in the human body, running from the lower back through the buttocks and down the legs to the feet. It is formed by the union of the ventral rami (branches) of the L4 to S3 spinal nerves. The sciatic nerve provides motor and sensory innervation to various muscles and skin areas in the lower limbs, including the hamstrings, calf muscles, and the sole of the foot. Sciatic nerve disorders or injuries can result in symptoms such as pain, numbness, tingling, or weakness in the lower back, hips, legs, and feet, known as sciatica.
The cerebral aqueduct, also known as the aqueduct of Sylvius, is a narrow canal that connects the third and fourth ventricles (cavities) of the brain. It allows for the flow of cerebrospinal fluid (CSF) from the third ventricle to the fourth ventricle. The cerebral aqueduct is a critical component of the ventricular system of the brain, and any obstruction or abnormality in this region can result in an accumulation of CSF and increased pressure within the brain, which can lead to serious neurological symptoms and conditions such as hydrocephalus.
Cranial nerves are a set of twelve pairs of nerves that originate from the brainstem and skull, rather than the spinal cord. These nerves are responsible for transmitting sensory information (such as sight, smell, hearing, and taste) to the brain, as well as controlling various muscles in the head and neck (including those involved in chewing, swallowing, and eye movement). Each cranial nerve has a specific function and is named accordingly. For example, the optic nerve (cranial nerve II) transmits visual information from the eyes to the brain, while the vagus nerve (cranial nerve X) controls parasympathetic functions in the body such as heart rate and digestion.
The red nucleus is a round-shaped collection of neurons located in the midbrain, specifically in the rostral part of the mesencephalon. It is called "red" due to its deep red color, which comes from the rich vascularization and numerous iron-containing red blood cells present in the region.
The red nucleus plays a crucial role in the motor system, primarily involved in controlling and coordinating movements, particularly on the contralateral side of the body. It is part of the rubrospinal tract, which descends from the red nucleus to the spinal cord and helps regulate fine motor movements and muscle tone.
There are two main types of neurons present in the red nucleus: magnocellular (large cells) and parvocellular (small cells). Magnocellular neurons form the rubrospinal tract, while parvocellular neurons project to the inferior olivary nucleus, which is part of the cerebellum. The connections between the red nucleus, cerebellum, and spinal cord allow for the integration and coordination of motor information and the execution of smooth movements.
Damage to the red nucleus can result in various motor impairments, such as ataxia (lack of muscle coordination), tremors, and weakness on the contralateral side of the body.