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  Vol. 64 No. 2, February 2007 TABLE OF CONTENTS
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Bilateral Ocular Paralysis

Analysis of 31 Inpatients

James R. Keane, MD

Arch Neurol. 2007;64(2):178-180.

To my knowledge, no general study of complete ophthalmoplegia is available. This study was performed to determine the seats and causes of bilateral ocular paralysis. The personal records of 13 440 neurology and neurosurgery inpatients were reviewed. Eighteen (58%) of 31 patients had Fisher syndrome (13 cases) or Guillain-Barré syndrome (5 cases). Four cases resulted from midbrain infarction, 3 from myasthenia, and 1 each from pituitary apoplexy, skull base metastasis, botulism, mucormycosis, phenytoin toxicity, and trauma. Many conditions produce complete ophthalmoplegia on rare occasions, but Fisher syndrome, which paralyzes the eyes in nearly one third of cases, was by far the commonest cause.


Author Affiliation: Department of Neurology, University of Southern California, Los Angeles.



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THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Acute ophthalmoplegia (without ataxia) associated with anti-GQ1b antibody
Lee et al.
Neurology 2008;71:426-429.
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Complete Ophthalmoplegia: An Unusual Sign of Bilateral Paramedian Midbrain-Thalamic Infarction
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Stroke 2008;39:1355-1357.
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