The diagnostic yield of neuroimaging in sixth nerve palsy - Sankara Nethralaya Abducens Palsy Study (SNAPS): Report 1

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Benign Isolated Abducens Nerve Palsy

Cranial nerve VI (abducens nerve) innervates the lateral rectus muscle. Acquired isolated abducens nerve palsy in infants and children is a rare condition. A lesion of abducens nerve will result in esotropia greater at distance, an ipsilateral abduction deficiency, and a double vision. The abducens nerve palsy in a child may be caused by serious neurological diseases such as raised intracranial...

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An isolated sixth nerve palsy may be a harbinger of underlying intracranial disease. Due to its long subarachnoid course, it may be damaged by downward shift of the brainstem as often occurs in increased or decreased intracranial pressure (“false-localizing sixth nerve palsy”). Alternatively, the sixth nerve may be involved in isolation by a compressive lesion in the cavernous sinus or along th...

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A 68-year-old male patient presented with a week of sudden diplopia. He had been diagnosed with nasopharyngeal cancer 8 months prior and had undergone chemotherapy with radiotherapy. Eight-prism diopter right esotropia in the primary position and a remarkable limitation in abduction in his right eye were observed. Other pupillary disorders and lid drooping were not found. After three weeks, the...

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ژورنال

عنوان ژورنال: Indian Journal of Ophthalmology

سال: 2014

ISSN: 0301-4738

DOI: 10.4103/0301-4738.146000