Objective: To explore the main causes of oculomotor nerve palsy, providing a reference for clinical diagnosis and treatment. Methods: A total of 248 patients with oculomotor nerve palsy treated in the hospital from January 2016 to January 2018 were selected, and their causes and treatments were summarized. Results: This study found that the main causes of oculomotor nerve palsy were intracranial aneurysms, brain stem lesions, and brain inflammation. A few cases were due to viral infections and congenital oculomotor nerve palsy, while some patients had unknown causes. After treatment in our hospital, most patients experienced relief, although 12 patients died. Conclusion: The etiology of oculomotor nerve palsy is complex, and choosing appropriate drugs during treatment is challenging. Timely identification of the cause is an effective method for treatment.
Nie W, 2016, Analysis of 37 Cases of Oculomotor Nerve Palsy at First Diagnosis. China Health and Nutrition, 26(15): 114–115.
Fu J, Peng L, Liu Y, et al., 2016, Analysis of Causes in 23 Cases of Oculomotor Nerve Palsy. Hainan Medical Journal, 27(14): 2365–2367.
Si X, Li F, 2023, Etiology and Clinical Characteristics of 120 Patients with Oculomotor Nerve Paralysis. Guangzhou Medicinal Journal, 54(2): 75–78.
Gong W, Wang Z, Guo L, et al., 2022, A Case of Non-Hodgkin Lymphoma Ocular Metastasis with Oculomotor Nerve Palsy as the First Symptom. China Journal of Chinese Ophthalmology, 32(12): 974–977.
Wang N, Lin H, Wu X, et al., 2020, Analysis of Clinical Features in 5 Patients with Unilateral Oculomotor Nerve Palsy. Journal of Apoplexy and Nervous Diseases, 37(10): 927–929.
Sun P, Hong R, Feng C, et al., 2022, Relapsing-Remitting Oculomotor Nerve Palsy: A Case Report. Chinese Journal of Ophthalmology and Otorhinolaryngology, 22(2): 212–213.
Feng C, Sun P, Chen W, et al., 2022, Clinical Characteristics and Etiology of Oculomotor Nerve Palsy: A Single Center Study. Chinese Journal of Ophthalmology and Otorhinolaryngology, 22(1): 42–46.
Song M, Pan L, Xiang W, et al., 2022, Oculomotor Nerve Palsy Caused by Posterior Cerebral Artery Dissecting Aneurysm: A Case Report. China Journal of Clinical Neurosurgery, 2022, 27 (1): 62–63.
Xie Z, Li G, 2021, Mild Traumatic Brain Injury with Non-Hematoma Compression Leading to Oculomotor Nerve Palsy: A Case Report. Chinese Journal of Laboratory Diagnosis, 25(12): 1851–1852.