RESUMO
El síndrome de oftalmoplejía dolorosa se caracteriza por la presencia de dolor periorbital o pericraneal, que se acompaña de parálisis de los nervios oculomotores. El diagnóstico diferencial es amplio y requiere un estudio riguroso. Se describen 3casos clínicos de pacientes con síndrome de oftalmoplejía dolorosa en los que se requirieron múltiples estudios de extensión para obtener un diagnóstico etiológico. El síndrome de oftalmoplejía dolorosa es un trastorno complejo que tiene múltiples causas, entre las que se incluyen infecciones, procesos inflamatorios y tumorales. Debe considerarse la biopsia en aquellos pacientes en los que los estudios no invasivos no son conclusivos (AU)
Painful ophthalmoplejía syndrome is characterised by the presence of peri-orbital or peri-cranial pain that is accompanied by paralysis of the oculomotor nerves. The differential diagnosis is broad, and requires a rigorous study. Three clinical cases of patients with painful ophthalmoplejía syndrome are described, in which multiple extension studies were required to obtain an aetiological diagnosis. Painful ophthalmoplejía syndrome is a complex disorder that has multiple causes, including infections, inflammatory, and tumour processes. Biopsy should be considered in those cases in which non-invasive studies are inconclusive (AU)
Assuntos
Humanos , Masculino , Feminino , Adolescente , Pessoa de Meia-Idade , Idoso , Síndrome de Tolosa-Hunt/diagnóstico , Oftalmoplegia/diagnóstico , Nervo Oculomotor/diagnóstico por imagem , Diagnóstico DiferencialRESUMO
With an aim to examine behavioural and physiological changes during emotion elicitation, 30 participants were shown audio, video or audio-video versions of movie clips depicting anger, fear, happiness, sadness, surprise and neutral expressions. While watching these stimuli, the eye-tracking glass was used to record oculomotoric changes. Heart rate, blood volume and respiration rate were also recorded. After viewing each clip the participants had to label and rate the emotion depicted in the movie clip. The data was analyzed with respect to valence, motoric direction and arousal dimensions of emotions. Findings of the behavioural data and corresponding change in the respiration rate suggest that fear is the only emotion that equally impacted participants psychologically as well as physiologically. The number of fixations and saccades for positive and negative emotions differed significantly (AU)
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Assuntos
Humanos , Nervo Oculomotor/fisiologia , Emoções/fisiologia , Biorretroalimentação Psicológica , Pressão Sanguínea/fisiologia , Volume Sanguíneo/fisiologia , Movimentos Oculares/fisiologiaRESUMO
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Assuntos
Humanos , Masculino , Lactente , Infartos do Tronco Encefálico/etiologia , Cateterismo/efeitos adversos , Migração de Corpo Estranho/cirurgia , Nervo Oculomotor/lesõesRESUMO
Caso clínico: Describir un caso de parálisis bilateral combinada de origen traumático. Conocer las lesiones que ocasionan la clínica nos es útil para inferir el pronóstico final y tratamiento más adecuado.Discusión: Presentamos un paciente con una parálisis del III par izquierdo y VI par bilateral de origen traumático. El daño anatomofuncional era una lesión axonal difusa. Tras un período de observación sin presentar mejoría se realizó una inyección de toxina botulínica con la que mejoró clínicamente. Las lesiones de pares craneales combinadas y bilaterales traumáticas son infrecuentes. Si son por un daño axonal difuso las expectativas empeoran
Case report: To describe a case of combined bilateral cranial nerve palsy of traumatic origin. To determine the lesions that produce the symptoms is useful to define the final prognosis and the best treatment.Discussion: We report the case of a patient who developed a bilateral sixth nerve and left third nerve palsy after head trauma. The underlying lesion was a diffuse axonal injury. After an observation period during which no spontaneous improvement occurred, we administered botulinum toxin with a successful clinical result. Bilateral combined traumatic cranial nerve palsies are rare. When a diffuse axonal injury is present, the chance of spontaneous resolution is poor
Assuntos
Masculino , Idoso , Humanos , Nervo Abducente/fisiopatologia , Nervo Oculomotor/fisiopatologia , Doenças do Nervo Oculomotor/fisiopatologia , Oftalmoplegia/fisiopatologia , Traumatismos Craniocerebrais/complicações , Lesão Axonal Difusa/complicaçõesRESUMO
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Assuntos
Humanos , Nervo Oculomotor/fisiopatologia , Paresia/fisiopatologia , Doenças de Pequenos Vasos Cerebrais/diagnóstico , Fatores de RiscoRESUMO
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Assuntos
Pessoa de Meia-Idade , Humanos , Masculino , Paralisia Facial , Nervo Oculomotor , Infarto CerebralRESUMO
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Assuntos
Adolescente , Idoso , Masculino , Feminino , Humanos , Punção Espinal , Corpos de Lewy , Hipertensão Intracraniana , Paresia , Nervo Oculomotor , Diagnóstico Diferencial , Demência , Epilepsia , Lateralidade FuncionalRESUMO
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