Isolated nontraumatic abducens nerve palsy.
Acta Neurol Belg
; 107(4): 126-30, 2007 Dec.
Article
em En
| MEDLINE
| ID: mdl-18416288
ABSTRACT
INTRODUCTION:
Abducens nerve palsy (ANP) is the most common isolated palsy. The injury of the abducens nerve can occur anywhere along its long course, so differential diagnosis of ANP occasionally demands thorough investigation to find the proper cause. PATIENTS Ten patients with isolated ANP are presented. The causes included nasopharyngeal carcinoma, diabetes, cholesteatoma of the inner ear, carotid-cavernous fistula, subarachnoid bleeding, hydrocephalus, toxic ANP, multiple sclerosis, clinically isolated syndrome suggestive of multiple sclerosis, and Tolosa-Hunt syndrome.DISCUSSION:
Based on the cases presented and review of the literature, we argue that every patient with isolated nontraumatic ANP requires brain MRI as an initial diagnostic tool. If this finding remains inconclusive, additional tests including angiography and CSF examination should be performed.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Doenças do Nervo Abducente
Limite:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Acta Neurol Belg
Ano de publicação:
2007
Tipo de documento:
Article
País de afiliação:
Croácia