Sixth nerve palsy.

Thomas J O'Donnell; Edward G Buckley

PubMed · 17132429

Sixth nerve palsy.

Abstract

The diagnosis and etiologies of sixth cranial nerve palsies are reviewed along with nonsurgical and surgical treatment approaches. Surgical options depend on the function of the paretic muscle, the field of greatest symptoms, and the likelihood of inducing diplopia in additional fields by a given procedure.

Explore related subjects

Abducens Nerve Diseases Diagnosis, Differential Eye Movements Humans Oculomotor Muscles Ophthalmologic Surgical Procedures Journal Article Research Support, Non-U.S. Gov't Review

Keep this discovery

Explore connections, maps & timelines

BibTeX RIS

Thomas J O'Donnell, Edward G Buckley. Sixth nerve palsy.. https://pubmed.ncbi.nlm.nih.gov/17132429/

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

PubMed2007

[Isolated apical petrositis: an atypical case of Gradenigo's syndrome].

In 1904 Guiseppe Gradenigo described an infection of the apex of the petrous part of the temporal bone from acute otitis media with the clinical symptoms of unilateral pain around the eye, diplopia due to sixth nerve paralysis and persistant otorrhea. While this infection became evident by inward extension from petrositis in the majority of fatal cases from acute otitis media in the preantibiotic era, it has now become very rare. Today, cases mainly derive from cholesteatomas or chronic osteomyelitis of the petrous bone. However, due to intense antibiotic treatment in acute otitis media clinical signs of petrositis may be less typical compared to former times. We report on a 12-year-old boy with rapid onset of sixth nerve paralysis without clinical signs of acute otitis media or mastoiditis. CT and NMR imaging confirmed infection of the petrous apex. He was treated by mastoidectomy with exploration of a posterior cell group from the epitympanon around the semicircular canals and subsequent high dose intravenous antibiotics. The patient recovered without any loss of inner ear or facial nerve function. The paralysis of the sixth nerve disappeared completely within 6 weeks.

Abducens Nerve Diseases↗

PubMed2007

Pontine hemorrhage and isolated abducens nerve palsy.

Explore the source record for details and available documents.

Abducens Nerve Diseases↗

PubMed2007

Transient sixth nerve palsies and torticollis secondary to parietal arteriovenous malformation.

Arteriovenous malformations (AVMs) can compress on any intracranial structures, and the presence and nature of ophthalmologic symptoms and signs depend on the size and location of the AVMs. We report an 11-month-old girl with parietal fistulous AVM, transient bilateral sixth nerve palsies and torticollis. The postoperative period was uneventful and she was discharged in a good condition. The patient recovered from transient bilateral abducens nerve palsies and torticollis; she was asymptomatic during the 18-month follow-up period.

Abducens Nerve Diseases↗