Vertebrobasilar dolichoectasia is a condition where the vertebral arteries are dilated, elongated and distorted, causing significant deterioration of tunica intima. The most common causes sixth nerve palsy include infection, stroke, brain tumour injury. We reported case 56-year-old man with underlying diabetes mellitus hypertension who presented diplopia over his left gaze. There no other assoc...

Palsy of a nerve might be expected to lower vestibulo-ocular reflex (VOR) responses in its fields of motion, but effects of peripheral neuromuscular disease were unknown. We recorded the VOR during sinusoidal head rotations in yaw, pitch, and roll at 0.5-2 Hz and static torsional gain in 43 patients with unilateral nerve palsies. Sixth nerve palsy (n = 21) reduced both abduction and adduction V...

Purpose To present the results of bilateral superior rectus transposition with medial rectus recession in a case of chronic bilateral sixth nerve palsy. Observation Bilateral superior rectus transposition with medial rectus recession resulted in full correction of esotropia with resolution of horizontal diplopia, improvement in abduction, and regain of stereoacuity in our case. There was mini...

Hydatid cyst disease (Echinococcosis) is a parasitic illness that is rarely located in the brain. Primary cerebral hydatid cyst disease is rarely seen. We report here rare two cases presenting with sixth cranial nerve palsy with increased intracranial pressure syndrome due to primary cerebral hydatid cyst. A 5-year-old female and a 13-year-old boy complained of headache, strabismus, nausea, and...

BACKGROUND Pituitary adenoma may present with neuro-ophthalmic manifestations and, typically, rapid tumor expansion is the result of apoplexy. Herein, we present the first case of an isolated sixth cranial nerve palsy as initial feature of a rapidly expanding ACTH positive silent tumor without apoplexy. CASE PRESENTATION A 44 year old female with a history of sarcoidosis presented with an iso...

The author reports on the case of a 60-year-old woman who presented with recurrent left sixth cranial nerve palsy. The patient was initially hospitalized to rule out an aneurysm of the internal carotid artery. Angiography revealed segmental dilation of the internal carotid artery and a persistent primitive trigeminal artery (PPTA) that coursed through the dorsolateral cavernous sinus, opening i...

Diabetic retinopathy is the most common and well-known ophthalmologic complications in diabetic patients. However, oculomotor palsy one of frequent neuro-ophthalmologic Specifically, sixth nerve common, however infrequently studied. Our patient a 51-year-old female with past medical history insulin-dependent diabetes mellitus, hypertension, chronic sinusitis, pain syndrome that presented compla...