Bilateral sixth nerve palsy associated with MDMA ("ecstasy") abuse.
OBJECTIVE
To report the association of methylenedioxymetamphetamine (MDMA, "ecstasy") abuse and bilateral sixth nerve palsy.


METHODS
Case report.


RESULTS
A 17-year-old male presented with horizontal diplopia in all directions of gaze after having taken MDMA tablets at 5-day to 7-day intervals during a 2-month period. Examination showed bilateral sixth nerve palsy. Ocular motility returned to normal within 5 days without use of MDMA and with no other treatment.


CONCLUSIONS
Methylenedioxymetamphetamine "ecstasy" abuse should be considered in the differential diagnosis in otherwise unexplained sixth nerve palsy.
Schroeder
B
B
Department of Ophthalmology, Philipps-University, Germany. schroed2@mailer.uni-marburg.de
Brieden
S
S
D020434:Abducens Nerve Diseases / Q000139:chemically induced*; D000293:Adolescent; D004172:Diplopia / Q000139:chemically induced*; D006213:Hallucinogens / Q000009:adverse effects*; D006801:Humans; D008297:Male; D018817:N-Methyl-3,4-methylenedioxyamphetamine / Q000009:adverse effects*; D019966:Substance-Related Disorders / Q000209:etiology*; D014794:Visual Fields
D006213:Hallucinogens; D018817:N-Methyl-3,4-methylenedioxyamphetamine