Cause and prognosis of XXXX in young adults.

@entity1 @entity2896 @entity15 @entity66
OBJECTIVE: To review the causes and prognosis of @entity2896 in @entity1 who are 20 to 50 years of age. DESIGN: Retrospective, noncomparative case series. @entity1 : All @entity1 aged 20 to 50 years with a nontraumatic @entity2896 seen in a neuro-ophthalmic practice from 1994 to 2000. INTERVENTION: Diagnostic testing to determine the cause of the palsy and surgical intervention to correct persistent stable strabismus. MAIN OUTCOME MEASURES: Cause of the palsy. The @entity1 ' clinical courses were reviewed. RESULTS: The most common cause for a @entity2896 in this age group was a central nervous system (CNS) @entity66 , although the most common cause for an isolated @entity2896 in this age group was @entity15 . @entity1 with a CNS @entity66 responsible for their palsy had the highest rate of nonresolution requiring strabismus surgery. CONCLUSIONS: @entity2896 are unusual in young adults, but in the practice of author (GBK) most are secondary to CNS mass lesions and, when isolated, @entity15 . Deferring neuroimaging or other appropriate investigations presuming a microvascular cause for the palsy in this age group is not recommended.
