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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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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11.	紀麗君, 孫景瑩, 李崇林. 糖尿病性眼肌麻痹臨床分析[J]. 中國實用眼科雜志, 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.	姚向榮, 張全華, 呂云利, 等. 糖尿病性眼肌麻痹患者糖代謝和脂代謝變化的分析[J].現代醫學, 2011, 39(2):125-128.
14.	侯豹可, 魏世輝. 95例單側動眼神經麻痹的臨床研究[J]. 中國實用眼科雜志, 2007, 25(4):413-415.
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1. 江漢秋, 張曉君, 傅濤. 487例眼肌麻痹的病因分析[J]. 中華眼科雜志, 2013, 48(3):258-261.
2. 夏蔚, 沈偉, 李龍標. 眼肌麻痹的病因及治療[J]. 中國實用眼科雜志, 2006, 24(1):89-91.
3. 柯將瓊, 鄭國慶, 陳潔. 眼肌型重癥肌無力和電生理研究[J]. 眼視光學雜志, 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, 崔麗英, 張俊保. Lambert-Eaton肌無力綜合征45例臨床及電生理回顧性分析[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. 陳秋惠, 張海娜, 孫冬. 甲狀腺相關性眼病2例報告[J]. 吉林醫學, 2006, 7(3):312-313.
9. 湯瑋, 石勇銓. 甲狀腺相關性眼病及新進展[J]. 現代實用醫學, 2012, 24(8):844-846.
10. 李章芳, 沈潔. 甲狀腺相關眼病研究進展[J]. 中國實用內科雜志, 2013, 33(11):896-898.
11. 紀麗君, 孫景瑩, 李崇林. 糖尿病性眼肌麻痹臨床分析[J]. 中國實用眼科雜志, 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. 姚向榮, 張全華, 呂云利, 等. 糖尿病性眼肌麻痹患者糖代謝和脂代謝變化的分析[J].現代醫學, 2011, 39(2):125-128.
14. 侯豹可, 魏世輝. 95例單側動眼神經麻痹的臨床研究[J]. 中國實用眼科雜志, 2007, 25(4):413-415.
15. 莊雪梅,姚艷嬌.眼肌麻痹60例臨床分析[J].國際眼科雜志, 2011, 11(2):365-366.

West China Medical Journal

Clinical Analysis of Vertigo Caused by Ophthalmoplegia

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