Sir, Recurrent isolated sixth nerve palsy secondary to an intracavernous carotid artery aneurysmWe report the first case of a recurrent isolated painless sixth nerve palsy in a 60-year-old lady secondary to a large saccular aneurysm of the intracavernous carotid vasculature. This case demonstrates that recovery of an isolated sixth nerve palsy in a patient with presumed vasculopathic risk factors does not exclude a compressive lesion and may necessitate further investigation.
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