Benign Recurrent Sixth Nerve Palsies in Childhood

Benign Recurrent Sixth (Abducens) Nerve Palsy following Measles-Mumps-Rubella Vaccination

“…Recurrent 6th nerve palsy in a child following different live attenuated vaccines has been reported before [ 3 , 10 – 12 ]. In all cases, complete spontaneous resolution has occurred but this may vary from days to months [ 13 ].…”

Benign Recurrent Sixth (Abducens) Nerve Palsy following Measles-Mumps-Rubella Vaccination

“…Recurrent 6th nerve palsy in a child following different live attenuated vaccines has been reported before [ 3 , 10 – 12 ]. In all cases, complete spontaneous resolution has occurred but this may vary from days to months [ 13 ].…”

Recurrent Isolated Sixth Nerve Palsy in Childhood—Review on a Rare Phenomenon

“…If so, and particularly if the patient is a young female with recurrent left-sided nerve palsy, the patient may be cautiously followed without the performance of further imaging or a spinal tap. 13 18 19 We stress, however, that further examinations should only be refrained if the presentation is typical for recurrent benign sixth nerve palsy: an acute (“overnight”) onset and a complete absence of abduction (paralysis) in an otherwise well-appearing child.…”

“…First, immunization or a viral infection may trigger an autoimmune response that leads to demyelination or localized arteritis, which causes sixth nerve palsy. 13 14 Second, there have been speculations toward an association with vaccine additives. However, this is judged to be unlikely by other authors.…”

A Rare Side Effect of COVID-19 Vaccination: Abducens Nerve Palsy

“…Immunization-related cranial nerve palsies have been reported previously in the literature 3 , 4 , 5 , 6 , 7 , 8 . After exclusion of organic lesions, which cause acute abducens palsy in adults, immunization should be considered for the diagnosis.…”

“…One of them was a 15-month-old girl who presented with abducens palsy 10 days after receiving the measles, mumps, rubella (MMR) vaccine. The other child was an 8-month-old girl who developed left abducens palsy 6 weeks after her third diphtheria, pertussis, and tetanus (DPT) immunization 3 . Leiderman and colleagues reported an abducens nerve palsy in a 2-year-old boy after an annual influenza vaccination 4 .…”

Benign Recurrent Sixth (Abducens) Nerve Palsy following Measles-Mumps-Rubella Vaccination

“…Recurrent 6th nerve palsy in a child following different live attenuated vaccines has been reported before [ 3 , 10 – 12 ]. In all cases, complete spontaneous resolution has occurred but this may vary from days to months [ 13 ].…”

Recurrent Isolated Sixth Nerve Palsy in Childhood—Review on a Rare Phenomenon

“…If so, and particularly if the patient is a young female with recurrent left-sided nerve palsy, the patient may be cautiously followed without the performance of further imaging or a spinal tap. 13 18 19 We stress, however, that further examinations should only be refrained if the presentation is typical for recurrent benign sixth nerve palsy: an acute (“overnight”) onset and a complete absence of abduction (paralysis) in an otherwise well-appearing child.…”

“…First, immunization or a viral infection may trigger an autoimmune response that leads to demyelination or localized arteritis, which causes sixth nerve palsy. 13 14 Second, there have been speculations toward an association with vaccine additives. However, this is judged to be unlikely by other authors.…”

A Rare Side Effect of COVID-19 Vaccination: Abducens Nerve Palsy

“…Immunization-related cranial nerve palsies have been reported previously in the literature 3 , 4 , 5 , 6 , 7 , 8 . After exclusion of organic lesions, which cause acute abducens palsy in adults, immunization should be considered for the diagnosis.…”

“…One of them was a 15-month-old girl who presented with abducens palsy 10 days after receiving the measles, mumps, rubella (MMR) vaccine. The other child was an 8-month-old girl who developed left abducens palsy 6 weeks after her third diphtheria, pertussis, and tetanus (DPT) immunization 3 . Leiderman and colleagues reported an abducens nerve palsy in a 2-year-old boy after an annual influenza vaccination 4 .…”

Benign Recurrent Sixth (Abducens) Nerve Palsy following Measles-Mumps-Rubella Vaccination

“…Recurrent 6th nerve palsy in a child following different live attenuated vaccines has been reported before [ 3 , 10 – 12 ]. In all cases, complete spontaneous resolution has occurred but this may vary from days to months [ 13 ].…”

Recurrent Isolated Sixth Nerve Palsy in Childhood—Review on a Rare Phenomenon

“…If so, and particularly if the patient is a young female with recurrent left-sided nerve palsy, the patient may be cautiously followed without the performance of further imaging or a spinal tap. 13 18 19 We stress, however, that further examinations should only be refrained if the presentation is typical for recurrent benign sixth nerve palsy: an acute (“overnight”) onset and a complete absence of abduction (paralysis) in an otherwise well-appearing child.…”

“…First, immunization or a viral infection may trigger an autoimmune response that leads to demyelination or localized arteritis, which causes sixth nerve palsy. 13 14 Second, there have been speculations toward an association with vaccine additives. However, this is judged to be unlikely by other authors.…”

A Rare Side Effect of COVID-19 Vaccination: Abducens Nerve Palsy

“…Immunization-related cranial nerve palsies have been reported previously in the literature 3 , 4 , 5 , 6 , 7 , 8 . After exclusion of organic lesions, which cause acute abducens palsy in adults, immunization should be considered for the diagnosis.…”

“…One of them was a 15-month-old girl who presented with abducens palsy 10 days after receiving the measles, mumps, rubella (MMR) vaccine. The other child was an 8-month-old girl who developed left abducens palsy 6 weeks after her third diphtheria, pertussis, and tetanus (DPT) immunization 3 . Leiderman and colleagues reported an abducens nerve palsy in a 2-year-old boy after an annual influenza vaccination 4 .…”