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

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    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
    Show full item record
    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)
    ae974a485f413a2113503eed53cd6c53
    10.1007/s11845-008-0245-9
    Scopus Count
    Collections
    University Hospital Waterford

    entitlement

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