Turkish Neurosurgery
Magnetic Resonance Images of patients with acute isolyted cranial nerve palsies
Hakan Baybora1, Kaya Faruk2, İbrahim Koçak3, Yunus Karabela4
1Medipol University,Esenler Hospital, Ophthalmology, Istanbul,
2Medipol University, Ophthalmology, Istanbul,
3Medipol University, Ophthalmology, Istanbul,
4Bağcılar Research and Education Hospital, Ophthalmology, Istanbul,
DOI: 10.5137/1019-5149.JTN.24775-18.4

Aim:Aim :To investigate magnetic resonance imaging (MRI) results of patients with the complaint of diplopia who found having ocular nevre palsy. Material and Methods: Material ans Methods:Routine ophthalmic examination performed , neurology consultation requested and cranial MRI performed for all patients. The image results were grouped into four: Ischemic lesions, demyelinating disease lesions group, tumors and group who found no lesions. Ischemic gliotic changes in the white matter. Patients medical history were taken from medical recordings. For to find relation between age and cranial MRI images, to find relation between images and paresis type we used chi-square test. Results:Results:Ischemic MRI images were mostly seen in our study. Third nerve paresis was found significantly related to ischemic cerebral MRI lesions (p=0,009, p<0,05). Also, these lesion images were significantly related with patients ages older than 50 years (p=0,004,p<0,5). There were no significant relation between sixth and fourth nerve paresis and cranial ischemic images(p=0,680 and p= 0,678 respectively,p<0,05). There were two cerebral artery aneurysm and three cerebral infarct patients and one intracranial mass patient who were older than fifty years old. Conclusion:Conclusion:Some of the patients have serious cranial pathologies although having minimal or no neurologic symptoms. These pathologies were also seen in patients who were older than 50 years old. We advise performing MRI for all patients with the symptom of binocular diplopia. Key words: Magnetic resonance imaging, diplopia, cranial nerve diseases.

Corresponding author : Hakan Baybora