Difference between revisions of "Abducens nerve palsy"

(Background)
(Management)
Line 17: Line 17:
 
* Congenital Esotropia
 
* Congenital Esotropia
 
* Meningitis
 
* Meningitis
 +
 +
==Diagnosis==
  
 
==Management==
 
==Management==
 
+
*POC glucose
 
*CBC
 
*CBC
 
*BMP
 
*BMP
*Accucheck
 
 
*CT/MRI Brain
 
*CT/MRI Brain
 
*ESR
 
*ESR

Revision as of 02:34, 29 August 2015

Background

  • Most common ocular nerve palsy
  • Innervates the ipsilateral lateral rectus muscle controlling eye abduction
  • Esotropia of the affected eye due to the unopposed action of the medial rectus muscle.

Clinical Features

Patients with a CN VI palsy frequently present with diplopia and esotropia. They may have a head turn to help correct their diplopia.

Differential Diagnosis

Diagnosis

Management

  • POC glucose
  • CBC
  • BMP
  • CT/MRI Brain
  • ESR
  • Lyme Titer
  • RPR

Disposition

Dispo appropriate to etiology, consult either Neuro or Ophtho.

See Also

External Links

References