Abstract
The ghost of the past has emerged as the horror of today. The fear of weakness/loss of eyesight following extraction is a common thinking amongst the orthodox people of Indian subcontinent. Occulomotor nerve paralysis following dental extraction is a rare complication. Although these ophthalmic complications in routine practice are rare, some time they do occur and pose difficulty to explain. Occulomotor nerve palsy is amongst the rare reported cases of ocular complication. Here we report a case of spontaneous recovery of occulomotor nerve palsy in an elderly diabetic patient and brief discussion on its etiopathogenesis.
References
Boynes Seang, Echeverria Zydnia, Abdulwahab Mohammad (2010) Ocular complications associated with local anesthesia administration in dentistry. Dent Clin North Am 54:677–686
Lee AG, Brazis PW (2003) Clinical pathways in neuro-ophthalmology: an evidence-based approach, 2nd edn. Thieme Medical Publishing, NewYork
Hopf HC, Gutmann L (1990) Diabetic 3rd nerve palsy: evidence for a mesencephalic lesion. Neurology 40:1041–1045
Richards BW, Jones FR, Younge BR (1992) Causes and prognosis in 4, 278 cases of paralysis of the oculomotor, trochlear, and abducens cranial nerves. Am J Ophthalmol 113:489–496
Rucker CW (1958) Paralysis of the third, fourth and sixth cranial nerves. Am J Ophthalmol 46:787–794
Rucker CW (1966) The causes of paralysis of the third, fourth and sixth cranial nerves. Am J Ophthalmol 61:1293–1298
Rush JA, Younge BR (1981) Paralysis of cranial nerves III, IV and VI: cause and prognosis in 1, 000 cases. Arch Ophthalmol 99:76–79
Trobe JD (1985) Isolated pupil-sparing third nerve palsy. Ophthalmology 92:58–61
Horowitz J, Almog Y, Wolf A et al (2005) Ophthalmic complications of dental anesthesia: three new cases. J Neuroophthlmol 25:95–100
Van der Bijil P, Meyer D (1998) Ocular complications of dental local anesthesia. SADJ 53:235–238
Rood J (1972) Ocular complication of inferior dental nerve block. A case report. Br Dent J 132:23–24
Kronman JH, Kabani S (1984) The neuronal basis for diplopia following local anesthetic injections. Oral Surg Oral Med Oral Pathol 58(5):533–534
Dreyfus PM, Hakim S, Adams RD (1957) Diabetic ophthalmoplegia: report of a case, with postmortem study and comments on the vascular supply of human oculomotor nerve. Arch Neurol Psychiatry 77:337–349
Asbury AK, Aldredge H, Hershberg R, Fisher M (1970) Oculomotor palsy in diabetes mellitus: a clinico-pathologic study. Brain 93:555–566
Weber RB, Daroff RB, Mackey EA (1970) Pathology of oculomotor nerve palsy in diabetics. Neurology 20:835–838
Trobe JD (1985) Isolated pupil-sparing third nerve palsy. Ophthalmology 92:58–61
Trobe JD (1986) Isolated third nerve palsies. Semin Neurol 6:2
Capo H, Warren F, Kupersmith MJ (1992) Evolution of oculomotor nerve palsies. J Clin Neuroophthal 10:21–25
Renowden SA, Harris KM, Hourihan MD (1993) Isolated atraumatic third nerve palsy: clinical features and imaging techniques. Br J Radiol 66:1111–1117
Davies GE, Shakir RA (1994) Giant cell arteritis presenting as oculomotor nerve palsy with pupillary dilatation. Postgrad Med J 70:298–299
Donahue SP, Taylor RJ (1998) Pupil-sparing third nerve palsy associated with sildenafil citrate (Viagra). Am J Ophthalmol 126:476–477
Migita DS, Devereaux MW, Tomsak RL (1997) Cocaine and papillary sparing oculomotor nerve paresis. Neurology 49:1466–1467
Jacobson DM, McCanna TD, Layde PM (1994) Risk factors for ischemic ocular motor nerve palsies. Arch Ophthalmol 112:961–966
Bortolami R, D’Alessandro R, Manni E (1993) The origin of pain in ischemic-diabetic third-nerve palsy. Arch Neurol 50:795
Naghmi R, Subuhi R (1990) Diabetic oculomotor mononeuropathy: involvement of pupillomotor fibres with slow resolution. Horm Metab Res 22:38–40
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Dubey, P., Bansal, V., Arun Kumar, K.V. et al. Non-traumatic Occulomotor Nerve Palsy: A Rare Case Report and Discussion on Etiopathogenesis. J. Maxillofac. Oral Surg. 14 (Suppl 1), 313–316 (2015). https://doi.org/10.1007/s12663-013-0525-4
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DOI: https://doi.org/10.1007/s12663-013-0525-4