Sixth nerve palsy

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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

  • Frequently present with diplopia and esotropia
  • May have a head turn to help correct their diplopia

Differential Diagnosis

Diagnostic Evaluation

Evaluation

Work-up

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

Management

Disposition

Dispo appropriate to etiology, consult either Neuro or Ophtho.

See Also

External Links

References