This Article  • References  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (25)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Analysis of 125 Cases

James R. Keane, MD

Arch Neurol. 1976;33(10):681-683.

Abstract
• Bilateral abducens nerve pareses were nearly as common as unilateral cases in an inpatient setting (125:143). Cerebrospinal fluid abnormalities were more frequent among the bilateral cases, but generally the same causes produced unilateral and bilateral sixth nerve palsy. The relative ease of diagnosis was in contrast with the large number of undiagnosed or "vascular" cases in previous studies of outpatients. The degree of lateral rectus limitation proved to be of limited help in suggesting the cause or predicting recovery of oculomotor function. The etiology was of some prognostic value, with universal recovery of pressure palsies and rare improvement with tumor involvement. Myasthenia, orbital muscle entrapment, convergence spasm, divergence palsy, and pretectal pseudoconvergence entered into the differential diagnosis, but were only occasionally difficult to exclude.

Author Affiliations
From the Department of Neurology, University of Southern California, Los Angeles College Medical Center.

Footnotes
Accepted for publication Jan 8, 1976.

Reprint requests to Box 359, 1200 N State St, Los Angeles, CA 90033 (Dr Keane).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Bilateral Third Nerve Palsy and Temporal Arteritis
Lazaridis et al.
Arch Neurol 2005;62:1766-1768.
ABSTRACT | FULL TEXT  

Case 2-1998- A 50-Year-Old Woman with Increasing Headache and a Left Abducent-Nerve Palsy
O'Leary and de la Monte
NEJM 1998;338:180-188.
FULL TEXT