Functional Recovery of Cranial Nerves in Patients with Traumatic Orbital Apex Syndrome
Joint Authors
Zhang, Danfeng
Wang, Junyu
Hou, Lijun
Chen, Jigang
Li, Zhenxing
Lv, Liquan
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-11-13
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Objective.
Traumatic orbital apex syndrome (TOAS) is a rare disease characterized by the damage of cranial nerves (CNs) II, III, IV, and VI.
The aim of our study was to analyze the functional recovery of CNs in TOAS and discuss the management of these patients.
Methods.
We retrospectively reviewed 28 patients with TOAS treated in the Department of Neurosurgery, Shanghai Changzheng Hospital from February 2006 to February 2016.
Functional recovery of CNs was evaluated based on extraocular muscle movement and visual perception.
Follow-up duration was at least 6 months.
Results.
There were 26 males and 2 females with a mean age of 35.3 years.
The most common cause of TOAS was traffic accident.
CN IV suffered the lightest injury among CNs III, IV, and VI.
CN II achieved obvious improvement at 3-month follow-up, while other CNs enjoyed evident improvement at 6-month follow-up.
There was no significant difference between conservative treatment and surgical decompression.
Conclusion.
CNs passing through orbital apex region might recover to different degrees several months after proper management.
Clinical decision should be individualized and surgical decompression could be considered with evidence of fracture, hematoma, or deformation.
American Psychological Association (APA)
Li, Zhenxing& Zhang, Danfeng& Chen, Jigang& Wang, Junyu& Lv, Liquan& Hou, Lijun. 2017. Functional Recovery of Cranial Nerves in Patients with Traumatic Orbital Apex Syndrome. BioMed Research International،Vol. 2017, no. 2017, pp.1-6.
https://search.emarefa.net/detail/BIM-1139209
Modern Language Association (MLA)
Li, Zhenxing…[et al.]. Functional Recovery of Cranial Nerves in Patients with Traumatic Orbital Apex Syndrome. BioMed Research International No. 2017 (2017), pp.1-6.
https://search.emarefa.net/detail/BIM-1139209
American Medical Association (AMA)
Li, Zhenxing& Zhang, Danfeng& Chen, Jigang& Wang, Junyu& Lv, Liquan& Hou, Lijun. Functional Recovery of Cranial Nerves in Patients with Traumatic Orbital Apex Syndrome. BioMed Research International. 2017. Vol. 2017, no. 2017, pp.1-6.
https://search.emarefa.net/detail/BIM-1139209
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1139209