Sixth nerve palsy

Revision as of 14:34, 7 September 2015 by Neil.m.young (talk | contribs)

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

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