Acute sixth nerve palsy in a young man, beware of the 'red herring'.

Authors
O'Neill, E C
Connell, P P
Kadare, S
Tormey, P T
Affiliation
Ophthalmology Department, Waterford Regional Hospital, Waterford, Ireland., evelynoneill@yahoo.com
Issue Date
2012-02-01T10:52:41Z
MeSH
Abducens Nerve Diseases/*diagnosis/pathology
Adolescent
Antineoplastic Agents/therapeutic use
Cranial Nerve Neoplasms/*diagnosis/drug therapy/pathology
Humans
Intracranial Pressure
Male
Precursor Cell Lymphoblastic Leukemia-Lymphoma/*diagnosis/drug therapy
Superior Vena Cava Syndrome
Vision Disparity

Metadata
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Citation
Ir J Med Sci. 2010 Jun;179(2):301-3. Epub 2008 Oct 24.
Journal
Irish journal of medical science
URI
http://hdl.handle.net/10147/207962
DOI
10.1007/s11845-008-0245-9
PubMed ID
18949533
Abstract
BACKGROUND: Cranial nerve palsies has several etiologies including vascular insufficiency, neoplasm, trauma and inflammation. Isolated sixth nerve palsy is an extremely rare presenting feature of leukemia. AIM: We describe an unusual ocular presentation of a bilateral progressive sixth nerve palsy in a young male with a preceding head injury. CONCLUSION: Acquired sixth nerve palsies in young adults may be due to trauma but in the absence of a definitive history other systemic processes must be outruled. We describe a case of bilateral sixth nerve palsy in a patient with ALL with no obvious CNS involvement. Potential etiological mechanisms are discussed.
Language
eng
ISSN
1863-4362 (Electronic)
0021-1265 (Linking)
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