Isolated abducens nerve palsy associated with coronavirus disease: an 8-month follow-up

Abstract We report a case of a 47-year-old patient recently diagnosed with left abducens nerve palsy, who was admitted in our clinic with diplopia. The cranio-facial CT scan revealed left sphenoid fungal rhinosinusitis and the patient underwent endoscopic surgery with complete removal of the fungal material. The immediate postoperative evolution of the patient was favourable, with partial improvement of diplopia. The first month follow-up visit revealed the recurrence of the diplopia, so the patient performed an MRI scan of the brain that showed a cavernous sinus meningioma. The patient was referred to a neurosurgeon who choose a “wait-and-see” strategy instead of surgery. The paper presents the limits of computed tomography versus magnetic resonance imaging in the radiologic diagnosis of intracranial tumors.

Download Full-text

A case report of isolated abducens nerve palsy: idiopathic or ophthalmoplegic neuropathy?

The Egyptian Journal of Neurology Psychiatry and Neurosurgery ◽

10.1186/s41983-021-00417-x ◽

2021 ◽

Vol 57 (1) ◽

Author(s):

Zainab Irshad Husain ◽

Rawaa AlSayegh ◽

Hani Humaidan

Keyword(s):

Nerve Palsy ◽

Cranial Nerves ◽

Abducens Nerve ◽

Sudden Onset ◽

Abducens Nerve Palsy ◽

Case Presentation ◽

Detailed History ◽

Recurrent Painful Ophthalmoplegic Neuropathy ◽

Made In

Abstract Background Abducens nerve is the most common nerve affected among other cranial nerves in terms of isolated ocular palsy. Despite its prevalence and progression made in neuroimaging, incidence of idiopathic cases continues to rise. Case presentation We report a young adult male with no previous illnesses, who presented with sudden onset of binocular diplopia and headache and was later diagnosed with an isolated ipsilateral abducens nerve palsy secondary to an unknown cause and treated with steroids. The palsy and diplopia had resolved in 2-month time but the patient still continued to suffer from a migraine, such as headache. Conclusion Although, we labelled the patient as idiopathic initially, another plausible cause for this kind of presentation could be recurrent painful ophthalmoplegic neuropathy (RPON) owing to the nature of the presentation. Cases labelled as idiopathic could be attributed to a defined pathogenesis with detailed history and follow-up. Follow-up is vital for all patients, especially those labelled as idiopathic as recurrence of the illness have the chance of changing the diagnosis if supported by the detailed history and physical examination findings.

Download Full-text

Long-term follow-up of children with benign abducens nerve palsy

Eye ◽

10.1038/eye.2009.22 ◽

2009 ◽

Vol 24 (1) ◽

pp. 74-78 ◽

Cited By ~ 7

Author(s):

V Sturm ◽

C Schöffler

Keyword(s):

Nerve Palsy ◽

Abducens Nerve ◽

Abducens Nerve Palsy ◽

Long Term Follow Up

Download Full-text

Two cases of benign abducens nerve palsy in children and their long-term follow-up

Journal of International Medical Research ◽

10.1177/0300060520986702 ◽

2021 ◽

Vol 49 (1) ◽

pp. 030006052098670

Author(s):

Tong Zhang ◽

Jihong Tang

Keyword(s):

Nerve Palsy ◽

Gamma Globulin ◽

Clinical Symptoms ◽

Abducens Nerve ◽

Diagnostic Methods ◽

Abducens Nerve Palsy ◽

Long Term Follow Up ◽

Laboratory Examinations

Our aim was to explore the clinical characteristics and diagnostic methods of benign abducens nerve palsy in children. The clinical and laboratory characteristics, treatment approach, and prognosis of two children with benign abducens nerve palsy were retrospectively evaluated. The main clinical symptoms of the two children were limited binocular movement accompanied by double vision, and the positive physical signs were limited binocular abduction accompanied by diplopia. No abnormalities were found in laboratory examinations or in imaging of the head, chest, and abdomen. Both children were treated with B vitamins, methylprednisolone, and gamma globulin, and the clinical symptoms disappeared within 3 months of starting treatment. The cause of benign abducens nerve palsy in children is unknown, but may be related to immune factors. In the two cases presented here, the patients recovered after treatment with immunomodulators.

Download Full-text