Idiopathic Unilateral Cranial Nerve VI Palsy: A Case Report and Review of the Literature

Hsu, Christensen S.; Closmann, James J; Baus, Mark R.

doi:10.1016/j.joms.2007.04.035

Cited by 8 publications

(3 citation statements)

References 21 publications

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“…Epidemiological data show that the causes of unilateral abducens nerve palsy are closely related to age as trauma and tumors are common in children [ 9 ] and neoplasms and ischemia are common in middle-aged people, while high blood pressure or diabetes are common in elderly people [ 1 , 10 ]. However, idiopathic isolated abducens nerve palsy comprises 26% of all patients with abducens nerve palsy, making the diagnostic plan difficult with abducens nerve palsy without other symptoms [ 11 ]. If a patient complains of diplopia caused by difficulty in abducting the muscles, a thorough workup should be performed to find the possible causes so as not to delay treatment.…”

Section: Discussionmentioning

confidence: 99%

Primary Sphenoidal Sinus Lymphoma with Initial Presentation as Unilateral Abducens Nerve Palsy Symptom

Mao

Jin

Zhu

et al. 2018

Case Reports in Neurological Medicine

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A 48-year-old man presented with 3 days of mild horizontal diplopia in the left direction, followed by the onset of headache 17 days later. A physical examination revealed isolated left abducens nerve palsy. Head computed tomography (CT) and magnetic resonance imaging (MRI) scans revealed soft-tissue density neoplasms that occupied the sphenoidal sinus and further invaded to destroy the clivus. Immunohistochemical staining of neoplasms was performed from biopsies samples. The pathological diagnosis was extranodal natural killer (NK)/T-cell lymphoma (ENKL), nasal type, associated with Epstein-Barr virus (EBV). The patient subsequently exhibited secondary symptoms (fever, night sweats), enlarged lymph nodes, renal metastases, and hemophagocytic syndrome, with clinical diagnosis stage IV of ENKL. The patient has a poor prognosis. This report is unique in two aspects: the unilateral abducens nerve palsy as the initial and isolated symptom of ENKL, and the primary sphenoidal sinus ENKL.

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Section: Discussionmentioning

confidence: 99%

Primary Sphenoidal Sinus Lymphoma with Initial Presentation as Unilateral Abducens Nerve Palsy Symptom

Mao

Jin

Zhu

et al. 2018

Case Reports in Neurological Medicine

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“…After workup, the less emergent diagnoses can be considered, the most common of which is a vasculopathy secondary to diabetes, which was our patient's final diagnosis. Unfortunately, a significant percentage of patients, even after workup, retain a diagnosis of 'idiopathic' palsy of VI (5).…”

Section: Discussionmentioning

confidence: 99%

Acquired Lateral Rectus Palsy: A Case Report

2009

IJEM

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“…In patients with unresolved 6th nerve palsy strabismus surgery with Medial rectus recession+/-transposition is a well established surgical procedure to correct residual esotropia. 15 Our patient underwent Medial Rectus Recession recession, since only 25 PD of esotropia was present and patient is asymptomatic with good sensory fusion till date. In our patient till now no particular cause has been identified, but we are doing a close follow up.…”

Section: Djomentioning

confidence: 95%

Idiopathic, Isolated, Recurrent, Ipsilateral Sixth Nerve Paresis in An Older Adult - A Rare Case Report

Nambula¹

2020

DJO

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Recurrent, unilateral, isolated, idiopathic lateral rectus muscle paresis is an uncommon but wellrecognized disorder in children but has not been recognized as well in other age groups. Here we are reporting a case of idiopathic, isolated, recurrent, ipsilateral sixth nerve paresis in an otherwise healthy older adult. A 46 years gentle man presented with double vision since 3 years. He had similar episodes of double vision 5 times all of which recovered completely, except the last time. On examination there was right esotropia, limitation of right abduction and a normal fundus. Diplopia and Hess charting verified partial 6th nerve paresis. The patient was investigated with a wide range of investigations to rule out tumors, demyelinating, infectious, restrictive and neuromuscular junctional causes all of which were normal. Patient underwent surgical correction of esotropia and he is asymptomatic till date and is under a close follow up.

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Idiopathic Unilateral Cranial Nerve VI Palsy: A Case Report and Review of the Literature

Cited by 8 publications

References 21 publications

Primary Sphenoidal Sinus Lymphoma with Initial Presentation as Unilateral Abducens Nerve Palsy Symptom

Primary Sphenoidal Sinus Lymphoma with Initial Presentation as Unilateral Abducens Nerve Palsy Symptom

Acquired Lateral Rectus Palsy: A Case Report

Idiopathic, Isolated, Recurrent, Ipsilateral Sixth Nerve Paresis in An Older Adult - A Rare Case Report

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