Tusitala: Gregory Harris
Aso O Foafoaga: 9 Apelila 2021
Faafouga Aso: 21 Novema 2024
Anonim
RS Ocular Motor Cranial Nerves Sixth Nerve
Ata: RS Ocular Motor Cranial Nerves Sixth Nerve

Cranial mononeuropathy VI o se neula le atoatoa. E afaina ai le gaioiga o le ono cranial (ulupoo) neura. O lona iʻuga, e ono faʻalua le vaʻai a le tagata.

Cranial mononeuropathy VI o le faʻaleagaina o le ono cranial neura. O lenei neura e taʻua foi o le neuro. E fesoasoani ia te oe faʻasolosolo ou mata agai i lou malumalu.

O faʻalavelave o lenei neula e mafai ona tupu i:

  • Anurysms faiai
  • Faʻaleagaina neula mai le maʻi suka (suka suka suka)
  • Gradenigo syndrome (lea e mafua ai foi le lafoa mai le taliga ma tiga tiga)
  • Tolosa-Hunt syndrome, pupuga o le eria i tua o le mata
  • Faʻateleina pe faʻaititia le mamafa i le ulupoʻo
  • Iniseti (pei o meningitis po sinusitis)
  • Tele sclerosis (MS), o se faʻamaʻi e afaina ai le faiʻai ma le uaula
  • Maitaga
  • Pa
  • Manua (mafua mai i le ulu manuʻa pe faafuaseʻi i le taimi o taotoga)
  • Tumua faataamilo pe i tua o ou mata

E leʻo iloa le mafuaʻaga tonu ole tui puipuia o tamaiti i tamaiti.


Talu ai o loʻo masani ona masani neura ala i le ulu, o le tutusa faʻasoesa e faʻaleagaina le ono cranial neura ono aʻafia isi cranial neura (pei o le lona tolu po o le fa cranial neura).

A o le ono cranial neura e le galue lelei, oe le mafai ona liliu lou mata i fafo agai i lou taliga. E mafai lava ona siʻi i luga ou mata, lalo, ma agaʻi atu i le isu, seʻi vagana ua afaina isi neura.

Faʻailoga e ono aofia ai:

  • Faʻalua vaai pe a vaʻai i le tasi itu
  • Ulu ulu
  • Tiga i ou mata

O suʻesuʻega e masani ona faʻaalia ai o le tasi mata e iai le faʻalavelave e tilotilo i autafa aʻo le isi mata e minoi masani. O se suʻesuʻega e faʻaalia mai ai o mata e le laina laina pe i le malologa poʻo pe a vaʻai atu i le itu o le mata vaivai.

O lau fomaʻi tausi soifua o le a faia se suʻesuʻega maeʻaeʻa e iloa ai le ono afaina i isi vaega o le neula. Faʻamoemoe i le masalosalo mafuaʻaga, oe ono manaʻomia:

  • Tofotofoga toto
  • Suesuega ata i le ulu (pei o le MRI poʻo le CT scan)
  • Spinal tap (lumbar puncture)

Oe ono manaʻomia le faʻasino i se fomaʻi e faʻapitoa i faʻafitauli vaʻai vaʻai e fesoʻotaʻi ma le neula (neuro-ophthalmologist).


Afai e faʻamaonia e lau tautua le fulafula poʻo le fulafula o, pe faʻataʻamilo i neula, e mafai ona faʻaaogaina vailaʻau e taua o le corticosteroids.

O isi taimi, o le tulaga mou atu e aunoa ma togafitiga. A maua oe i le maʻisuka, o le a fautuaina oe e taofiofi le faʻatonutonu o le maualuga o le suka i lou toto.

E mafai e le kamupani ona tuʻuina atu se fofo i mata e faʻaavanoa ai le vaʻai lua. O le patch e mafai ona aveʻesea pe a maeʻa ona faʻamalolo neura.

E mafai ona fautuaina le taotoga pe a fai e leai se toe faaleleia ile 6 i le 12 masina.

O le togafitia o le mafuaʻaga e ono faʻaleleia atili ai le tulaga. O le toe faʻaleleia e masani ona tupu i totonu ole 3 masina i tagata matutua o loʻo i ai le toto maualuga poʻo le maʻisuka. E i ai le laititi avanoa o le toe faʻaleleia i le tulaga o le atoatoa supa o le ono neura. O avanoa o le toe faʻaleleia e laʻititi i tamaiti nai lo tagata matutua i le tulaga o manuʻa manua o le neula. Faʻaleleia e masani ona maeʻa i le tulaga o le tamaititi lona ono namu palsy i le taimi o laiti.

Faʻafitauli e ono aofia ai suiga tumau vaʻai.

Valaʻau lau tautua peʻa lua vaʻaia lau vaʻai.

E leai se auala e puipuia ai lenei tulaga. O tagata e maua ile maʻi suka e ono faʻaititia le aʻafiaga ile puleaina ole suka ile toto.


Paʻu supa; Abducens supa; Laʻau palu tauisi; O le supa ivth neula; Cranial nerve VI supa; Lona ono supa supa; Neuropathy - lona ono neura

  • Nofoʻaga popolevale ma faiga lautele neula

McGee S. Nerve o maso maso (III, IV, ma le VI): faʻalatalata atu i le tipiloma. I le: McGee S, ed. Faʻamaoniga-Faʻavae Tino Diagnosis. 4th ed. Filatelefia, PA: Elsevier; 2018: chap 59.

Olitsky SE, Marsh JD. Faʻaletonu o le gaioi o mata ma le faʻavasega. I le: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Tusitusiga o Pediatrics. 21 ed. Filatelefia, PA: Elsevier; 2020: chap 641.

Rucker JC. Neuro-ophthalmology. I le: Winn HR, ed. Youmans ma Winn Neurological taotoga. 7th ed. Filatelefia, PA: Elsevier; 2017: mata 8.

Tamhankar MA. Faʻaletonu mata gaioiga: tolu, fa, ma le ono neula palsies ma isi mafuaʻaga o le diplopia ma ocular misalignment. I totonu: Liu GT, Volpe NJ, Galetta SL, eds. Liu, Volpe, ma Galetta's Neuro-Ophthalmology. 3rd ed. Filatelefia, PA: Elsevier; 2019: chap 15.

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