Cranial mononeuropathy III

Cranial mononeuropathy III o se neula le atoatoa. E afaina ai le gaioiga o le lona tolu cranial neura. O lona iʻuga, e ono faʻalua le vaʻai a le tagata ma faʻasolosolo ai ona mata.

Mononeuropathy o lona uiga e tasi lava le neula ua afaina. O lenei faʻaletonu e afaina ai le neva cranial lona tolu i le ulupoo. Tasi lenei o neula cranial e faʻatonutonu gaioiga o mata. Mafuaʻaga ono aofia ai:

• Anerysm faiai
• Faamaʻi pipisi
• Vaʻa toto le masani ai (malepelepe vascular)
• Sinus thrombosis
• Tasi faʻaleagaina mai le leiloa o le toto tafe (infarction)
• Manua (mai le ulu manuʻa pe mafua faafuasei i le taimi o taotoga)
• Tumors poʻo isi tuputupu aʻe (aemaise lava tumors i le pito i lalo o le faiai ma pituitary gland)

I ni tulaga e seasea tupu, o tagata e tiga le ulu o le ulu o loʻo i ai ni faʻafitauli le tumau i le neula oculomotor. Atonu e mafua mai i le spasm o alatoto toto. I nisi tulaga, leai se mafuaʻaga mafai ona maua.

Tagata e maua ile maʻisuka e mafai foi ona atiaʻe se neuropathy ole lona tolu neula.

Faʻailoga e ono aofia ai:

• Faʻaaliga lua, o le faʻailoga masani lea
• Faʻafefe o le tasi mata (ptosis)
• Faʻateleina tamaiti aʻoga e le laʻititi pe a susulu atu se moli i luga
• Tigā le ulu poʻo le tiga o le mata

O isi faʻailoga e mafai ona tupu pe a fai o le mafuaʻaga o le tuma poʻo le fulafula o le faiʻai. O le faʻaititia o le mataala e matuia, aua e mafai ona avea o se faʻailoga o le faiʻai faʻaleagaina poʻo le lata mai o le oti.

E mafai ona faʻaalia se suʻega i mata:

• Faʻateleina (faʻalauteleina) tamaititi mata o le mata ua aʻafia
• Le minoi gaioi gaioiga
• Mata e le ogatusa

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

• Tofotofoga toto
• Suʻega e vaʻai ai ala toto i le faiʻai (cerebral angiogram, CT angiogram, poʻo le MR angiogram)
• MRI poʻo le CT faʻataʻitaʻi o le faiʻai
• 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).

Nisi tagata e sili atu le lelei e aunoa ma togafitiga. O le togafitia o le mafuaʻaga (pe a mafai ona maua) ono faʻamamaina ia faʻailoga.

Isi togafitiga e faʻamalolo ai faʻailoga e ono aofia ai:

• Vailaau Corticosteroid e faʻaititia ai le fulafula ma faʻamamaina le mamafa i luga o neula (pe a faʻatupuina e se patu poʻo se manuʻa)
• Faʻapipiʻi mata poʻo tioata ma prisma e faʻaititia ai le vaʻai lua
• Paʻu vailaʻau
• Taotoga e togafitia ai le paʻu o mata i lalo po o mata e le ogatusa

O nisi tagata o le a tali atu i togafitiga. I ni nai isi, tumau mata drooping pe leiloa o mata gaioiga o le a tupu.

Mafuaʻaga e pei o le faiʻai fula ona o le tuma poʻo le stroke, poʻo le faiai aneurysm ono ono lamatia ai le ola.

Valaʻau lau tautua pe a fai e faalua lau vaʻai ma e le alu ese i ni nai minute, ae maise pe a faʻapea o loʻo e tau faʻaletonu mata.

O le vave togafitia o faʻafitauli e mafai ona oomi i luga o neula e ono faʻaititia ai le aʻafiaga o le croneial mononeuropathy III.

Lona tolu supa cranial namu; Supa Oculomotor; Tamaiti aʻoga-aofia ai isi cranial neura palsy; Mononeuropathy - faʻapipiʻi ituaiga

• Nofoʻaga popolevale ma faiga lautele neula

Rucker JC, Thurtell MJ. Faʻapitoa neuropathies. I totonu: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology i Fomaʻi Faʻataʻitaʻi. 7th ed. Filatelefia, PA: Elsevier; 2016: mata 104.

Stettler BA. Faʻafitauli o le faiʻai o le faiʻai ma le mafaufau. I: Puipui RM, Hockberger RS, Gausche-Hill M, eds. Togafitiga Faʻafuaseʻi a Rosen: Faʻataʻitaʻiga ma Togafitiga Faʻafomaʻi. 9th ed. Filatelefia, PA: Elsevier; 2018: mata 95.

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.