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Cranial nerve palsy

Also known as Cranial Neuropathy and Cranial Nerve Disease

Disorders of one or more of the twelve cranial nerves. With the exception of the optic and olfactory nerves, this includes disorders of the brain stem nuclei from which the cranial nerves originate or terminate.

Source: MeSH

What are the symptoms?

Within all the people who go to their doctor with cranial nerve palsy, 53% report having double vision, 40% report having headache, and 35% report having diminished vision. The symptoms that are highly suggestive of cranial nerve palsy are double vision, symptoms of the face, abnormal movement of eyelid, and pupils unequal, although you may still have cranial nerve palsy without those symptoms.


What might my doctor prescribe?

Common Tests and Procedures

Patients with cranial nerve palsy often receive magnetic resonance imaging, other diagnostic procedures (interview; evaluation; consultation), ophthalmic examination and evaluation, ophthalmologic and otologic diagnosis and treatment, other therapeutic procedures, cat scan of head, other therapeutic procedures on eyelids; conjunctiva; cornea and occupational therapy assessment .

Common Medications

The most commonly prescribed drugs for patients with cranial nerve palsy include botulinum toxin type a (botox), botulism antitoxin, pseudoephedrine / triprolidine, cyclopentolate ophthalmic, olopatadine ophthalmic, pergolide, mumps vaccine, rimabotulinumtoxinb (myobloc), desloratadine / pseudoephedrine, erythromycin topical product, measles vaccine, rubella virus vaccine and tegaserod (zelnorm) .

Who is at risk?

Groups of people at highest risk for cranial nerve palsy include age 5-14 years age < 1 years.

Age

< 1 years
2.4x
1-4 years
1.4x
5-14 years
1.8x
15-29 years
0.5x
30-44 years
0.7x
45-59 years
0.9x
60-74 years
1.4x
75+ years
0.8x

Sex

Male
1.0x
Female
1.0x

Race/Ethnicity

Black
0.7x
Hispanic
1.0x
White
1.1x
Other
1.5x
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