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Klin Monbl Augenheilkd 2021; 238(11): 1178-1185
DOI: 10.1055/a-1615-2267
Übersicht

Infranuclear Eye Movement Disorders

Article in several languages: English | deutsch
Juliane Mehlan
Klinik und Poliklinik für Augenheilkunde, Universitätsklinikum Hamburg-Eppendorf, Deutschland
,
Frank Schüttauf
Klinik und Poliklinik für Augenheilkunde, Universitätsklinikum Hamburg-Eppendorf, Deutschland
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Abstract

Infranuclear motility disorders are such of the cranial nerves, the extraocular muscles or changes in the orbit but definitely peripheral to the nuclei of the cranial nerves. Characteristic are movement deficits, a compensatory head posture and the pattern of incomitancy. The secondary angle of deviation is usually larger than the primary. Combined pareses suggest a lesion in the cavernous sinus, orbital apex or a multilocular event. It is essential to rule out supranuclear disorders, especially if the motility deficit is atypical. For clarification, an individual risk assessment is recommended, paying particular attention to risk factors.

Key words

strabismus - cranial nerve palsy - eye movements


Publication History

Received: 26 August 2021

Accepted: 07 October 2021

Article published online:
16 November 2021

© 2021. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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