Sixth nerve palsy: Difference between revisions
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== | ==Diagnostic Evaluation== | ||
==Management== | ==Management== |
Revision as of 14:35, 7 September 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
- Frequently present with diplopia and esotropia
- May have a head turn to help correct their diplopia
Differential Diagnosis
- Giant Cell Arteritis
- Medial Orbital Fracture (with entrapment of the medial rectus muscle)
- ocular Myasthenia Gravis
- Miller-Fisher Syndrome Guillian-Barre Syndrome
- Congenital Esotropia
- Meningitis
Diagnostic Evaluation
Management
- POC glucose
- CBC
- BMP
- CT/MRI Brain
- ESR
- Lyme Titer
- RPR
Disposition
Dispo appropriate to etiology, consult either Neuro or Ophtho.