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Mononeurapatía por compresión del III par craneal - Symptom

Nombres alternativos

Parálisis del tercer nervio craneal; Parálisis oculomotora; Parálisis del tercer nervio craneal que involucra la pupila

Síntomas:

  • Visión doble
  • Caída de un párpado (ptosis)
  • Pupila agrandada que no reacciona bien a la luz
  • Dolor de cabeza o dolor ocular

Pueden presentarse otros síntomas si la causa es un tumor o un traumatismo. La pérdida progresiva del conocimiento es un signo grave porque podría ser indicio de daño cerebral o de muerte inminente.

Signos y exámenes:

Un examen ocular puede mostrar:

  • Pupila del ojo afectado agrandada (dilatada)
  • Anomalías en los movimientos de los ojos
  • Ojos desalineados (mirada desacoplada)

Se realiza una evaluación médica y neurológica (sistema nervioso) completa para averiguar si otras partes del cuerpo están afectadas.

Es posible que sea necesario que lo remitan a un médico especialista en problemas visuales relacionados con el sistema nervioso (neurooftalmólogo).
  • Reviewed last on: 6/15/2010
  • David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; and Daniel B. Hoch, PhD, MD, Assistant Professor of Neurology, Harvard Medical School, Department of Neurology, Massachusetts General Hospital. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Baloh RW. Neuro-ophthalmology. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier;2007:chap 450.

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