Cranial mononeuropathy III

ʻO Cranial mononeuropathy III kahi maʻi nerve. Hoʻopili ia i ka hana o ke kolu o ke aʻalolo cranial. A ʻo kahi hopena, he pālua paha ko ke kanaka ʻike a me kona maka e iho ai.

ʻO Mononeuropathy ke kumu o hoʻokahi nerve wale nō e hoʻopili ʻia. Hoʻopili kēia maʻi i ke aʻalolo cranial kolu i ka iwi poʻo. ʻO kēia kekahi o nā aʻalolo cranial e kaohi i ka neʻe o ka maka. Nā kumu e komo pū paha:

• Aneurysm lolo
• Nā maʻi ʻino
• ʻO nā kīʻaha koko ʻole (vform malformations)
• Sinus thrombosis
• Kūpikipiki ka pilikino mai ka nalo ʻana o ke kahe o ke koko (infarction)
• Trauma (mai ke poʻo ʻeha a i kumu ʻole ʻia i ka wā o ke ʻoki ʻana)
• Nā Tumors a i ʻole nā ​​ulu ʻē aʻe (ʻo ia hoʻi nā tumors ma ke kumu o ka lolo a me ka pituitary gland)

I nā hihia maʻamau, loaʻa i ka poʻe me nā poʻo hina ka pilikia o ka manawa me ka nerve oculomotor. Pili paha kēia i ka spasm o nā kīʻaha koko. I kekahi mau hihia, ʻaʻole hiki ke loaʻa kahi kumu.

Hiki i ka poʻe me ka maʻi diabetes ke hoʻomohala i kahi neuropathy o ke kolu o nā aʻalolo.

Pākuʻi ʻia paha nā ʻōuli:

• ʻO ka hihiʻo pālua, ʻo ia ka hōʻailona maʻa mau
• Ke kuʻi ʻana o kahi eyelid (ptosis)
• Hoʻonui ʻia ka haumāna ʻaʻole e liʻiliʻi i ka hoʻomālamalama ʻana o ke kukui ma luna ona
• ʻEha poʻo a ʻeha maka paha

Kū aʻe kekahi mau ʻōuli ʻē aʻe inā he tumo a ʻōhū paha o ka lolo ke kumu. He koʻikoʻi ka hōʻemi ʻana i ka makaʻala, no ka mea he hōʻailona ia o ka hōʻino o ka lolo a i ʻole ka make e hiki mai ana.

Hōʻike paha kahi loiloi maka:

• Hoʻonui (hoʻonui ʻia) haumāna o ka maka i hoʻopilikia ʻia
• Nā neʻe ʻana o ka neʻe ʻana o ka maka
• ʻAʻole kūlike nā maka

E hana ana kāu mea mālama ola i kahi hoʻokolokolo piha e ʻike inā pilikia nā ʻāpana ʻē aʻe o ka ʻōnaehana. Kaukaʻi ʻia i ka kumu i manaʻo ʻia, pono ʻoe i:

• Nā hoʻāʻo koko
• Nā hoʻāʻo e nānā i nā kīʻaha koko i ka lolo (cerebral angiogram, CT angiogram, a me MR angiogram)
• MRI a i ʻole CT scan o ka lolo
• Spinal tap (lumbar puncture)

Pono ʻoe e hāʻawi ʻia i kahi kauka e loea i nā pilikia ʻike e pili ana i ka ʻōnaehana hopohopo (neuro-ophthalmologist).

E ʻoi aku ka maikaʻi o kekahi poʻe me ka ʻole o ka lāʻau. ʻO ka mālama ʻana i ke kumu (inā hiki ke loaʻa) hiki ke hōʻoluʻolu i nā ʻōuli.

ʻO nā ʻano lāʻau ʻē aʻe e hōʻoluʻolu ai i nā ʻōuli e komo pū paha:

• Nā lāʻau Corticosteroid e hoʻēmi i ka pehu ʻana a hoʻōla i ke kaomi ma ke aʻalolo (ke kumu ʻia e kahi tumo a ʻeha paha)
• Nā pale maka a i ʻole nā ​​aniani me nā prism e hoʻoliʻiliʻi i ka ʻike pālua
• Nā lāʻau ʻeha
• Ke ʻoki kino e mālama ai i ka pulu ʻana o ka eyelid a i ʻole nā ​​maka i kūlike ʻole

E pane kekahi poʻe i ka lāʻau. I kekahi mau mea ʻē aʻe, e hāʻule ka maka paʻa a i ʻole ka nalowale o ka neʻe o ka maka.

ʻO nā kumu e like me ka pehu ʻana o ka lolo ma muli o ka tumo a i ʻole ka hahau ʻana, a i ʻole ke aneurysm o ka lolo e hoʻoweliweli paha i ke ola.

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe ka ʻike pālua a ʻaʻole ia e hele i loko o kekahi mau minuke, keu hoʻi inā he ʻōpoki kuʻi kou.

ʻO ka mālama wikiwiki ʻana i nā maʻi i hiki ke kaomi ma ke aʻalolo hiki ke hōʻemi i ka makaʻu o ka hoʻomohala cranial mononeuropathy III.

ʻO ka palsy nerve ʻekolu kolani; Maʻi palapū Oculomotor; Pupil-e pili ana i ke kolu o ka palsyial nerve palsy; Mononeuropathy - ʻano compression

• ʻŌnaehana ʻōnaehana waena a me ka ʻōnaehana ʻōnaehana peripheral

ʻO Rucker JC, Thurtell MJ. Nā neuropathies Cranial. I: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. ʻO Bradley's Neurology i ka hana lapaʻau. ʻEpekema 7 Piladelapia, PA: Elsevier; 2016: chap 104.

ʻO Stettler BA. Nā maʻi o ke aʻa a me ke aʻa cranial. I: Nā paia RM, Hockberger RS, Gausche-Hill M, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 95.

ʻO Tamhankar MA. Nā maʻi neʻe o ka maka: ke kolu, ka ʻehā, a me ke ono o nā palsies nerve a me nā kumu ʻē aʻe o ka diplopia a me ka hoʻokalakupua ocular. I: Liu GT, Volpe NJ, Galetta SL, eds. ʻO Liu, Volpe, a me Galetta's Neuro-Ophthalmology. ʻEkolu huaʻōlelo. Piladelapia, PA: Elsevier; 2019: chap 15.