J Korean Ophthalmol Soc.  2019 Nov;60(11):1105-1111. 10.3341/jkos.2019.60.11.1105.

Neuro-ophthalmic Analyses of Head Trauma Patients

• Kim HM
• Kim DH

• KMID: 2463362
• DOI: http://doi.org/10.3341/jkos.2019.60.11.1105

Abstract

PURPOSE
To investigate the types and clinical features of neurological diseases after head trauma.
METHODS
From March 2010 to December 2018, a total of 177 patients were enrolled in this study. We retrospectively reviewed the clinical features of neurological ophthalmic diagnoses and frequencies, the types of head injuries, and the prognoses.
RESULTS
Cranial nerve palsy was the most common (n = 63, 35.6%), followed by traumatic optic neuropathy (n = 45, 25.4%), followed by optic disc deficiency, ipsilateral visual field defect, Nystagmus, skewing, ocular muscle paralysis between nuclei, and Terson syndrome. Neuro-ophthalmic deficits occurred in relatively strong traumas accompanied by intracranial hemorrhage or skull fracture. However, convergence insufficiency and decompensated phoria occurred in relatively weak trauma such as concussion. The prognoses of the diseases were poor (p < 0.05) for traumatic optic neuropathies and visual field defects. The prognoses of neurological diseases were poor if accompanied by intracranial hemorrhages or skull fractures (p < 0.05).
CONCLUSIONS
After head trauma, various neuro-ophthalmic diseases can occur. The prognosis may differ depending on the type of the disease, and the strength of the trauma may affect the prognosis.

Keyword

Cranial nerve paralysis; Head trauma; Neuro-ophthalmic diseases

MeSH Terms

Cranial Nerve Diseases
Craniocerebral Trauma*
Diagnosis
Head*
Humans
Intracranial Hemorrhages
Ocular Motility Disorders
Optic Nerve Injuries
Paralysis
Prognosis
Retrospective Studies
Skull Fractures
Strabismus
Visual Fields

Reference

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