gms | German Medical Science

104. Jahrestagung der Deutschen Ophthalmologischen Gesellschaft e. V. (DOG)

21. - 24.09.2006, Berlin

AV. malformations discovered through paralyses of N.Oculumotorious

Meeting Abstract

Suche in Medline nach

  • M. Simeonovska - Health Institute "Zeleznicar" Skopje, Macedonia
  • M. Danic - Health Institute "Zeleznicar" Skopje, Macedonia

Deutsche Ophthalmologische Gesellschaft e.V.. 104. Jahrestagung der Deutschen Ophthalmologischen Gesellschaft (DOG). Berlin, 21.-24.09.2006. Düsseldorf, Köln: German Medical Science; 2006. Doc06dogP312

Die elektronische Version dieses Artikels ist vollständig und ist verfügbar unter: http://www.egms.de/de/meetings/dog2006/06dog834.shtml

Veröffentlicht: 18. September 2006

© 2006 Simeonovska et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielf&aauml;ltigt, verbreitet und &oauml;ffentlich zug&aauml;nglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Objective

A male came into our ambulance, frightened and in panics. When he woke up, his right eye’s upper eyelid was completely closed, his sight was deemed, and bulbous was rigid.

Methods

After a routine examination, complete upper lid ptosis, maximal puil midriasis and divergent eye bulbus position was determined. Virus with stenophenic glass shows 6/6. Camber anterior, iris and inter-ocular pressure were normal. Fundoscopic examination shows two spot bleedings without special significance. Left eye was normal. Complete laboratory analyses, CT and MR brain performed the same day, were normal. Possibly neurotropic virus might caused the nerve oculomotorious paralyses.

Results

Huge vitamin dose, anti-inflammatory and antibiotic therapy was given without results. Another CT brain, this time with contrast shows the right diagnosis. AV malformation of a. carotis post. with 1,5 cm length pushing n. oculomotorious caused the paralyses AV malformation was extracted without interruption of the n .oculomotorious during surgery. Clinical finding was withdrawn after three months rehabilitation.

Conclusions

As a conclusion: CT brain without contrast doesn’t give precise diagnoses concerning the neuro ophtalmology and neurology.