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Ophthalmoparesis refers to weakness (-paresis) or paralysis (-plegia) of one or more extraocular muscles which are responsible for eye movements. It is a physical finding in certain neurologic, ophthalmologic, and endocrine disease. Internal ophthalmoplegia means involvement limited to the pupillary sphincter and ciliary muscle.
The individual is conscious and sufficiently intact cognitively to be able to communicate with eye movements. [4] Electroencephalography results are normal in locked-in syndrome. Total locked-in syndrome , or completely locked-in state ( CLIS ), is a version of locked-in syndrome wherein the eyes are paralyzed as well. [ 5 ]
The physiologic basis of the head tilt test was explained by Alfred Bielschowsky and Hofmann [8] in 1935. [9] However, Nagel described it 30 years prior to Bielschowsky when he noted that the combined action of the superior rectus muscle and the superior oblique muscle of one eye and of the inferior rectus and inferior oblique muscles in the fellow eye causes incycloduction and excycloduction ...
As the eyes converge, the pupils should constrict. The optokinetic nystagmus test is optional and involves asking the patient to look at a strip of vertical lines moving horizontally across visual field. Nystagmus is normally observed. Extraocular movements are tested by inspecting for ptosis, eye position and nystagmus. The pupil size is ...
Electronystagmography (ENG) is a diagnostic test to record involuntary movements of the eye caused by a condition known as nystagmus. It can also be used to diagnose the cause of vertigo, dizziness or balance dysfunction by testing the vestibular system. [1] Electronystagmography is used to assess voluntary and involuntary eye movements. [2]
The location of the lesion determines the type of palsy. Nonselective horizontal gaze palsies are caused by lesions in the Abducens nucleus.This is where the cranial nerve VI leaves on its way to the Lateral rectus muscle, which controls eye movement horizontally away from the midline of the body.
Oculomotor nerve palsy or oculomotor neuropathy [1] is an eye condition resulting from damage to the third cranial nerve or a branch thereof. As the name suggests, the oculomotor nerve supplies the majority of the muscles controlling eye movements (four of the six extraocular muscles, excluding only the lateral rectus and superior oblique).
Chronic progressive external ophthalmoplegia (CPEO) is a type of eye disorder characterized by slowly progressive inability to move the eyes and eyebrows. [1] It is often the only feature of mitochondrial disease, in which case the term CPEO may be given as the diagnosis.