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Revista Mexicana de Oftalmología

Anales de la Sociedad Mexicana de Oftalmología y Archivos de la Asociación Para Evitar la Ceguera en México
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2004, Number 2

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Rev Mex Oftalmol 2004; 78 (2)

Utilidad del intervencionismo cerebrovascular en el diagnóstico y tratamiento de lesiones cerebrales asociadas a parálisis oculomotoras

Moguel-Ancheita S, Moguel-Ancheita R, Gallegos-Duarte M
Full text How to cite this article

Language: Spanish
References: 9
Page: 89-95
PDF size: 615.89 Kb.


Key words:

Cerebrovascular interventionism, cerebral catheterism, strabismus, oculomotor palsies.

ABSTRACT

Objective: To propose a method for the study, diagnosis and treatment of cerebral lesions manifested by oculomotor palsies and the utility of cerebrovascular interventionism.
Material and method: Analyze of the current diagnostic studies for oculomotor palsies secondary to cerebral lesion, such as X Rays, Ultrasound, Computed tomography, Magnetic Resonance and Brain endovascular interventionism.
Conclusion: The possibility of repetition of a cerebral vascular event in two years is of 25 %. Often the cerebral lesions manifest as oculomotor palsies. These palsies are not studied completely in a high percentage of cases for different reasons as fast recuperation and wrong diagnostic methods. Actually the access of the cerebral vessel catheterism should be considered the first study method for the diagnosis and treatment of aneurismatic lesions.


REFERENCES

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  2. Parks MM, Mitchell PR. Cranial Nerve Palsies. En: Tasman W, Jaeger E (eds.). Duane’s Clinical Ophthalmology. Philadelphia, Lippincott, 1995. 19:1-17.

  3. Prieto-Díaz J, Sousa-Días C. Paresias y parálisis oculomotoras. En: Prieto-Díaz J, Souza-Días C (eds.). Estrabismo. Buenos Aires, Jorge D. Poch, 1996. VIII:377-428.

  4. Garrity JA, Forbes GS. Computed tomography of the orbit. En: Tasman W, Jaeger E (eds.). Duane’s Clinical Ophthalmology. Philadelphia, Lippincott, 1995, 24:1-16.

  5. Kronish JW, Dortzbach RK. Magnetic Resonance Imaging of the orbit. En: Tasman W, Jaeger E (eds.).. Duane’s Clinical Ophthalmology. Philadelphia, Lippincott, 1995, 25:1-25.

  6. Gruber DP, Zimmerman GA, Tomsick TA, van Loveren HR, Link MJ, Tew JM Jr. A comparasion between endovascular and surgical management of basilar artery apex aneurysms. J Neurosurg 1999, 90(5):868-874.

  7. Henry M, Henry I, Klonaris C, Masson I, Hugel M y cols.: Benefits of cerebral protection during carotid stenting with the PercuSurge GuardWire System: Midterm results. J Endovascular Therapy 2002, 9(1):1-13.

  8. Parodi JC, Schönholz C, Ferreira M, Mendaro E, Takao O. “Seat belt and air bag” Technique for cerebral protection during carotid stenting. J Endovascular Therapy 2002, 9(1):20-24.

  9. Molyneux A. International Subarachnoid Aneurysm Trial (ISAT) of neurosurgical clipping versus endovascular coiling in 2143 patients with ruptured intracranial aneurysms: A Randomized Trial. The Lancet 2002; 360:1267-1274.




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Rev Mex Oftalmol. 2004;78