Sixth nerve palsies in children.
The causes of sixth nerve palsies in 75 children, all of whom had undergone modern neuroimaging, were reviewed. Neoplasms or their neurosurgical removal was the most common cause (n = 34 [45%]); elevated intracranial pressure (nontumor) (15%), traumatic (12%), congenital (11%), inflammatory (7%), miscellaneous (5%), and idiopathic (5%) causes represented other categories but were less commonly present. Isolated sixth nerve palsies were relatively uncommon (9%). On the basis of the relatively high risk of neoplasm, the authors suggest neuroimaging early in the clinical course of children with sixth nerve palsies, even if the palsy is isolated.
Lee
M S
MS
Department of Ophthalmology, The Children's Hospital of Philadelphia, Scheie Eye Institute, University of Pennsylvania School of Medicine, USA.
Galetta
S L
SL
Volpe
N J
NJ
Liu
G T
GT
D000010:Abducens Nerve / Q000503:physiopathology; D000293:Adolescent; D017668:Age of Onset; D001927:Brain Diseases / Q000150:complications; D016543:Central Nervous System Neoplasms / Q000150:complications / Q000503:physiopathology / Q000601:surgery; D002648:Child; D002675:Child, Preschool; D003389:Cranial Nerve Diseases / Q000209:etiology*; D006259:Craniocerebral Trauma / Q000150:complications; D018450:Disease Progression; D005260:Female; D006801:Humans; D007223:Infant; D019586:Intracranial Hypertension / Q000150:complications; D008297:Male; D011183:Postoperative Complications; D012189:Retrospective Studies