• 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;
TANGYu-feng, Email: tyftangtang@126.com
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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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