Acute sixth nerve palsy in a young man, beware of the 'red herring'.
AffiliationOphthalmology Department, Waterford Regional Hospital, Waterford, Ireland., firstname.lastname@example.org
MeSHAbducens Nerve Diseases/*diagnosis/pathology
Antineoplastic Agents/therapeutic use
Cranial Nerve Neoplasms/*diagnosis/drug therapy/pathology
Precursor Cell Lymphoblastic Leukemia-Lymphoma/*diagnosis/drug therapy
Superior Vena Cava Syndrome
MetadataShow full item record
CitationIr J Med Sci. 2010 Jun;179(2):301-3. Epub 2008 Oct 24.
JournalIrish journal of medical science
AbstractBACKGROUND: 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.
- Isolated bilateral sixth nerve palsy secondary to metastatic carcinoma: a case report with a review of the literature.
- Authors: Kocak Z, Celik Y, Uzal MC, Uygun K, Kaya M, Albayram S
- Issue date: 2003 Dec
- Rathke's cleft cyst presenting as bilateral abducens nerve palsy.
- Authors: Grover V, Hamrahian AH, Prayson RA, Weil RJ
- Issue date: 2011 Dec
- Cause of acquired onset of diplopia due to isolated third, fourth, and sixth cranial nerve palsies in patients aged 20 to 50 years in Korea: A high resolution magnetic resonance imaging study.
- Authors: Park KA, Oh SY, Min JH, Kim BJ, Kim Y
- Issue date: 2019 Dec 15
- Multiple myeloma presenting as proptosis and sixth nerve palsy.
- Authors: Neki NS, Sharma RK, Sharma N, Multani LS
- Issue date: 2001 Nov
- Isolated bilateral abducens nerve palsy due to an inflammatory process within the sella and parasellar regions.
- Authors: Bakhsheshian J, Hwang MS, Strickland BA, Khishfe B
- Issue date: 2016 Jan