Clinical Analysis of Vertigo Caused by Ophthalmoplegia_West China Medical Journal

Authors：

 WANGKe ¹ , DAIYan ¹ , DUANJing-feng ² ,  TANGYu-feng ²

1. Department of Ophthalmology, Mianyang Central Hospital, Mianyang, Sichuan 621000, P. R. China;
2. Department of Neurology, Mianyang Central Hospital, Mianyang, Sichuan 621000, P. R. China;

Corresponding author：

TANGYu-feng, Email: tyftangtang@126.com

Keywords：

Ophthalmoplegia; Etiology; Vertigo; Treatment

DOI：

10.7507/1002-0179.20140432

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To study the etiology and clinical features of patients with ophthalmoplegia resulting in vertigo. Methods We retrospectively analyzed the clinical data of 45 patients with vertigo caused by ophthamloplegia treated between January 2010 and December 2013. The causes and features of the disease, treatment and outcome were summarized. Results Among the factors responsible for ophthalmoplegia resulting in vertigo, myasthenia gravis (MG) took the first place (20/45, 44.4%), followed by Graves' ophthalmopathy (9/45, 20.0%), diabetes (5/45, 11.1%), intracranial infection (4/45, 8.9%), medial rectus injury (3/45, 6.7%), orbital tumor (2/45, 4.4%), and Lambert-Eaton Myasthenic Syndrome (2/45, 4.4%). In 36 patients, the lesions located in the neuromuscular junction or muscles (80.0%). The pathogenesis of ophthalmoplegia were almost all caused by systemic diseases (88.9%), and the occurrence of local ophthalmology diseases was fewer (11.1%). Etiological treatments achieved beneficial effects. Conclusion The etiology of ophthalmology diseases resulting in vertigo is confusing. We should care more for patients with ophthalmoplegia caused by systemic diseases resulting in ophthalmologic vertigo without vision damage. Careful examinations and proper treatments for etiological factors are necessary in clinical options.

Citation： WANGKe, DAIYan, DUANJing-feng, TANGYu-feng. Clinical Analysis of Vertigo Caused by Ophthalmoplegia. West China Medical Journal, 2014, 29(8): 1407-1409. doi: 10.7507/1002-0179.20140432 Copy

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12.	Patel SV, Holmes JM, Hodge DO, et al. Diabetes and hypertension in isolated sixth nerve palsy:a population-based study[J]. Ophthalmology, 2005, 112(5):760-763.
13.	姚向荣, 张全华, 吕云利, 等. 糖尿病性眼肌麻痹患者糖代谢和脂代谢变化的分析[J].现代医学, 2011, 39(2):125-128.
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1. 江汉秋, 张晓君, 傅涛. 487例眼肌麻痹的病因分析[J]. 中华眼科杂志, 2013, 48(3):258-261.
2. 夏蔚, 沈伟, 李龙标. 眼肌麻痹的病因及治疗[J]. 中国实用眼科杂志, 2006, 24(1):89-91.
3. 柯将琼, 郑国庆, 陈洁. 眼肌型重症肌无力和电生理研究[J]. 眼视光学杂志, 2006, 8(3):191-193.
4. Mareska M, Gutmann L. Lambert-Eaton myasthenic syndrome[J]. Semin Neusol, 2004, 24(2):149-153.
5. 管宇宙, 崔丽英, 张俊保. Lambert-Eaton肌无力综合征45例临床及电生理回顾性分析[J]. 2010, 43(5):331-334.
6. Suzuki S. Lambert Eaton myasthenic syndrome (LEMS)[J]. Brain Nerve, 2010, 62(4):419-426.
7. Oh SJ, Kurokawa K, Chussen C, et al. Electrophysiological diagnostic criteria of Lambert-Eaton myasthenic syndrome[J]. Muscle Nerve, 2005, 32(4):515-520.
8. 陈秋惠, 张海娜, 孙冬. 甲状腺相关性眼病2例报告[J]. 吉林医学, 2006, 7(3):312-313.
9. 汤玮, 石勇铨. 甲状腺相关性眼病及新进展[J]. 现代实用医学, 2012, 24(8):844-846.
10. 李章芳, 沈洁. 甲状腺相关眼病研究进展[J]. 中国实用内科杂志, 2013, 33(11):896-898.
11. 纪丽君, 孙景莹, 李崇林. 糖尿病性眼肌麻痹临床分析[J]. 中国实用眼科杂志, 2009, 27(2):195-196.
12. Patel SV, Holmes JM, Hodge DO, et al. Diabetes and hypertension in isolated sixth nerve palsy:a population-based study[J]. Ophthalmology, 2005, 112(5):760-763.
13. 姚向荣, 张全华, 吕云利, 等. 糖尿病性眼肌麻痹患者糖代谢和脂代谢变化的分析[J].现代医学, 2011, 39(2):125-128.
14. 侯豹可, 魏世辉. 95例单侧动眼神经麻痹的临床研究[J]. 中国实用眼科杂志, 2007, 25(4):413-415.
15. 庄雪梅,姚艳娇.眼肌麻痹60例临床分析[J].国际眼科杂志, 2011, 11(2):365-366.

West China Medical Journal

Clinical Analysis of Vertigo Caused by Ophthalmoplegia

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