Acute sixth nerve palsy in a young man, beware of the 'red herring'.
AffiliationOphthalmology Department, Waterford Regional Hospital, Waterford, Ireland., email@example.com
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.
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