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Neuro-ophthalmic Analyses of Head Trauma Patients
Journal of the Korean Ophthalmological Society ; : 1105-1111, 2019.
Article in Korean | WPRIM | ID: wpr-766845
ABSTRACT

PURPOSE:

To investigate the types and clinical features of neurological diseases after head trauma.

METHODS:

From March 2010 to December 2018, a total of 177 patients were enrolled in this study. We retrospectively reviewed the clinical features of neurological ophthalmic diagnoses and frequencies, the types of head injuries, and the prognoses.

RESULTS:

Cranial nerve palsy was the most common (n = 63, 35.6%), followed by traumatic optic neuropathy (n = 45, 25.4%), followed by optic disc deficiency, ipsilateral visual field defect, Nystagmus, skewing, ocular muscle paralysis between nuclei, and Terson syndrome. Neuro-ophthalmic deficits occurred in relatively strong traumas accompanied by intracranial hemorrhage or skull fracture. However, convergence insufficiency and decompensated phoria occurred in relatively weak trauma such as concussion. The prognoses of the diseases were poor (p < 0.05) for traumatic optic neuropathies and visual field defects. The prognoses of neurological diseases were poor if accompanied by intracranial hemorrhages or skull fractures (p < 0.05).

CONCLUSIONS:

After head trauma, various neuro-ophthalmic diseases can occur. The prognosis may differ depending on the type of the disease, and the strength of the trauma may affect the prognosis.
Subject(s)

Full text: Available Index: WPRIM (Western Pacific) Main subject: Paralysis / Prognosis / Skull Fractures / Visual Fields / Ocular Motility Disorders / Strabismus / Retrospective Studies / Cranial Nerve Diseases / Intracranial Hemorrhages / Optic Nerve Injuries Type of study: Diagnostic study / Observational study / Prognostic study Limits: Humans Language: Korean Journal: Journal of the Korean Ophthalmological Society Year: 2019 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Paralysis / Prognosis / Skull Fractures / Visual Fields / Ocular Motility Disorders / Strabismus / Retrospective Studies / Cranial Nerve Diseases / Intracranial Hemorrhages / Optic Nerve Injuries Type of study: Diagnostic study / Observational study / Prognostic study Limits: Humans Language: Korean Journal: Journal of the Korean Ophthalmological Society Year: 2019 Type: Article