Not a microvascular sixth nerve palsy

Steele, Henry; Aram, J; Wilhelm, T; Hickman, Simon J.; Ginsberg, Lionel

doi:10.1136/jnnp.2007.134569

Cited by 6 publications

(2 citation statements)

References 11 publications

(8 reference statements)

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“…3 Even though the abducens nerve is the second most common cranial nerve involved in nasopharyngeal carcinoma, 6 it is a relatively uncommon cause of sixth cranial nerve palsyies. 7 Notwithstanding, Taguchi et al 8 did report a patient with nasopharyngeal carcinoma extending into the cavernous sinus, who initially manifested with left abducens palsies and multiple cranial nerve palsy 3 has been reported as an initial manifestations of nasopharyngeal carcinoma.…”

Section: Discussionmentioning

confidence: 97%

Horizontal Gaze Palsy as an Initial Manifestation of Nasopharyngeal Carcinoma

Kitthaweesin

Pothiruk

2008

Neuro-Ophthalmology

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A 70-year-old man was unable to move both eyes to the left side. Ocular motility examination revealed an esotropia and left gaze paralysis. Jugulo-digastric lymph node and bulging nasopharyngeal roof were also observed. A brain MRI revealed a mass involving cavernous sinus, clivus, prepontine cistern and the lower pons. Pathologic examination of the tissue biopsied from the nasopharynx revealed a non-keratinizing squamous cell carcinoma. He was treated with radiotherapy 6600 cGy at tumor and 6600 cGy at the neck node. The neck mass and deficit of the right eye adduction deficit improved but the left eye abduction persisted.

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Section: Discussionmentioning

confidence: 97%

Horizontal Gaze Palsy as an Initial Manifestation of Nasopharyngeal Carcinoma

Kitthaweesin

Pothiruk

2008

Neuro-Ophthalmology

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“…1 There is a wide differential diagnosis, principally due to the long course of the nerve. 2 When spontaneous recovery occurs in an isolated sixth nerve palsy in a young person, the aetiology of the nerve palsy is usually due to demyelination or ophthalmoplegic migraine (recurrent cranial nerve palsy). Relapses can occur in particular in ophthalmoplegic migraine.…”

Section: Introductionmentioning

confidence: 99%

Relapsing-Remitting Sixth Nerve Palsy in Association with Ollier’s Disease

Raoof

Batty

Carroll

et al. 2015

Neuro-Ophthalmology

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Relapsing-remitting sixth nerve palsy is usually due to ophthalmoplegic migraine (recurrent cranial nerve palsy) in younger patients and microvascular disease in older patients. There have been isolated reports, however, of it occurring in the presence of a skull base tumour. We report a 20-year-old woman with Ollier's disease who presented with a relapsing-remitting sixth nerve palsy. Neuro-imaging revealed a skull base enchondroma.

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