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ACUPUNCTURE THERAPY FOR TRAUMATIC 3RD AND 6TH NERVE PALSY (CASE REPORT)
Dr. Siham Mohamed Fahmy*
Background: Paralytic strabismus is a neurological disorder affecting the cranial nerves of the eye (Third, fourth and sixth cranial nerves), one eye or both eyes may be affected and leads to diplopia or double vision. It is a serious problem among patients with diabetes mellitus, stroke, cerebral tumors, and traumatic brain injury. Treatment at beginning involves medical management of systemic predisposing factors and conservative measures to release symptoms followed later by surgical intervention in non-resolving ocular nerves palsies. Subjects: Two cases are presented in this study; the first is traumatic third nerve palsy after accidental head injury affected for more than six months without any recovery with various kinds of medications, and the second case was vascular sixth nerve palsy. Methods of treatment: Both cases were subjected to acupuncture therapy using disposable stainless steel acupuncture needles and were clinically evaluated by the ophthalmogist after each session. Each session extended to 25 minutes, 3 sessions per week till full recovery, a course of 24 sessions needed for the first case and a course of 6 sessions was enough to the second one. Result: clinical improvements were noticed in the 1stcase (3rdn.palsy) after 8 sessions with gradual progression till be with completely normal eye movement after 24 sessions and in the second case (6thn.palsy) was clinically improved after 6 sessions. Conclusion: Acupuncture can be considered as an effective therapy in treatment of diplopia in addition to conservative therapy.[Full Text Article]