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Neuroimaging and Acute Ocular Motor Mononeuropathies

Neuroimaging and Acute Ocular Motor Mononeuropathies CLINICAL SCIENCES Neuroimaging and Acute Ocular Motor Mononeuropathies A Prospective Study Ann P. Murchison, MD, MPH; Molly E. Gilbert, MD; Peter J. Savino, MD Objective: To evaluate the necessity of neuroimaging Results: Four of 93 patients had lesions on MRI; how- in patients with acute, isolated ocular motor mononeu- ever, only 1 of the 93 patients had a lesion related to the ropathies. cranial mononeuropathy. The total modeled cost of imaging for these 93 patients was $131 688 to deter- Methods: A prospective case series evaluating diagnos- mine an underlying cause in 1 patient with no change in tic technology results in 93 patients older than 50 years treatment. The estimated cost utility for the patient with with acute isolated mononeuropathies was performed. Pa- a causative lesion found by MRI was $90.19 for diagno- tients were included in the study if they had new-onset sis alone. diplopia with an isolated cranial neuropathy (cranial nerve III, IV, or VI palsy) and no other signs of neurologic dys- Conclusions: It may not be medically necessary to per- function. All patients had gadolinium-enhanced mag- form MRI scanning on every patient with an isolated cra- netic resonance imaging (MRI). The number of patients http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Ophthalmology American Medical Association

Neuroimaging and Acute Ocular Motor Mononeuropathies

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Publisher
American Medical Association
Copyright
Copyright 2011 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6165
eISSN
2168-6173
DOI
10.1001/archophthalmol.2011.25
pmid
21402985
Publisher site
See Article on Publisher Site

Abstract

CLINICAL SCIENCES Neuroimaging and Acute Ocular Motor Mononeuropathies A Prospective Study Ann P. Murchison, MD, MPH; Molly E. Gilbert, MD; Peter J. Savino, MD Objective: To evaluate the necessity of neuroimaging Results: Four of 93 patients had lesions on MRI; how- in patients with acute, isolated ocular motor mononeu- ever, only 1 of the 93 patients had a lesion related to the ropathies. cranial mononeuropathy. The total modeled cost of imaging for these 93 patients was $131 688 to deter- Methods: A prospective case series evaluating diagnos- mine an underlying cause in 1 patient with no change in tic technology results in 93 patients older than 50 years treatment. The estimated cost utility for the patient with with acute isolated mononeuropathies was performed. Pa- a causative lesion found by MRI was $90.19 for diagno- tients were included in the study if they had new-onset sis alone. diplopia with an isolated cranial neuropathy (cranial nerve III, IV, or VI palsy) and no other signs of neurologic dys- Conclusions: It may not be medically necessary to per- function. All patients had gadolinium-enhanced mag- form MRI scanning on every patient with an isolated cra- netic resonance imaging (MRI). The number of patients

Journal

JAMA Ophthalmology – American Medical Association

Published: Mar 1, 2011

References

  • Causes and prognosis in 4278 cases of paralysis of the oculomotor, trochlear, and abducens cranial nerves.
    Richards, BW; Jones, FR; Younge, BR
  • Paralysis of cranial nerves III, IV, and VI: cause and prognosis in 1000 cases.
    Rush, JA; Younge, BR
  • Acquired palsy of the oculomotor, trochlear and abducens nerves.
    Tiffin, PA; MacEwen, CJ; Craig, EA; Clayton, G
  • A practice pathway for the initial diagnostic evaluation of isolated sixth cranial nerve palsies.
    Miller, RW; Lee, AG; Schiffman, JS
  • Ocular palsies in the absence of other neurological or ocular symptoms: analysis of 105 cases.
    Batocchi, AP; Evoli, A; Majolini, L
  • Acute ocular motor mononeuropathies: prospective study of the roles of neuroimaging and clinical assessment.
    Chou, KL; Galetta, SL; Liu, GT
  • The utility of strabismus in adults.
    Beauchamp, GR; Felius, J; Stager, DR; Beauchamp, CL
  • United States life tables, 2004.
    Arias, E
  • Cost-effectiveness of angiography performed during surgery for ruptured intracranial aneurysms.
    Kallmes, DF; Kallmes, MH
  • Isolated sixth nerve palsy from pontine infarct.
    Atilla, H; Işikay, CT; Kansu, T
  • MRI in isolated sixth nerve palsies.
    Bendszus, M; Beck, A; Koltzenburg, M
  • Isolated fourth nerve palsy from midbrain hemorrhage: case report.
    Galetta, SL; Balcer, LJ
  • Sixth nerve palsy as a presenting sign of intracranial plasmacytoma and multiple myeloma.
    Movsas, TZ; Balcer, LJ; Eggenberger, ER; Hess, JL; Galetta, SL
  • Chronic isolated abducens paresis from tumors at the base of the brain.
    Currie, J; Lubin, JH; Lessell, S
  • Spontaneous recovery rates for unilateral sixth nerve palsies.
    King, AJ; Stacey, E; Stephenson, G; Trimble, RB
  • Treatment of cavernous sinus meningiomas.
    Blake, PY; Miller, NR; Long, DM
  • Sudden death from pituitary apoplexy in a patient presenting with an isolated sixth cranial nerve palsy.
    Warwar, RE; Bhullar, SS; Pelstring, RJ; Fadell, RJ
  • Isolated oculomotor nerve palsy following midbrain infarction.
    Murakami, M; Kitano, I; Hitoshi, Y; Ushio, Y
  • Value-based medicine and ophthalmology: an appraisal of cost-utility analyses.
    Brown, GC; Brown, MM; Sharma, S
  • The threshold approach to clinical decision making.
    Pauker, SG; Kassirer, JP
  • Nuclear and intranuclear ocular motility disorders.
    Sargent, J
  • Chronic sixth nerve palsies: are they really harbingers of serious intracranial disease?
    Savino, PJ; Hilliker, JK; Casell, GH; Schatz, NJ
  • Neuro-ophthalmologic evaluation of oculomotor nerve paralysis.
    Green, WR; Hackett, ER; Schlezinger, NS
  • The causes of paralysis of the third, fourth and sixth cranial nerves.
    Rucker, CW
  • Third nerve palsy and the pupil: footnotes to the rule.
    Trobe, JD

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