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Essay On Third Nerve Palsy

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Acquired third nerve palsy evaluation depends on the Signs and symptoms which is depend on the location of lesion in nerve track and according to location of the lesion can cause complete or partial paralysis . Also the evaluation depend on patient’s age because the third nerve palsy is most frequent in peoples older than 60 years and in those with prominent or long-standing risk factors, such as Systemic diseases that may be cause lesion in nerve track or even in midbrain such as diabetes mellitus, hypertension and vasculitis or trauma or other diseases such as infections and tumors.
Unfortunately no direct medical treatment that changes the course of the disease but the management and treatment depend on the underlying cause of the third nerve palsy. Emergency treatment is necessary if a life-threatening by disorder. If the patient is conscious and have ophthalmoplegia, ptosis and dilated pupil that is may be indicate into an intracraneal aneurysm. In the other hand if a patient have complete the third nerve palsy and pupil not affected …show more content…

in such cases the cause may be a ruptured aneurysm which may be lead to bleeding , then this may cause a coma for person . in such cases the both pupil will be dilated and they are not responding to fixation light so this may be indicates deep coma or possibly brain death .
So if the underlying cause of third nerve palsy is aneurysm the intervention is primarily aim to avoiding subarachnoid hemorrhage by neurosurgical clipping or endovascular embolization .and the third nerve recover its function according to the degree and or duration of deficit before operation
But if the ischemic process is cause third nerve palsy usually improve within three to six months .Vascular risk factors should be treated by antiplatelet

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