Arachnoid cyst resulting in sixth nerve palsy in a child.
A 2 year old presented with incomitant esotropia and abduction deficit consistent with sixth nerve palsy. Neuroimaging revealed an arachnoid cyst on the left. Neurosurgical shunting followed by strabismus surgery relieved the abduction deficit and esotropia. An arachnoid cyst may be a rare cause of acquired sixth nerve palsy and strabismus in children.
Salvin
Jonathan H
JH
Department of Ophthalmology, Children's National Medical Center, 111 Michigan Avenue, Washington, DC 20010-2970, USA.
Repka
Michael X
MX
Miller
Marijean M
MM
D020434:Abducens Nerve Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D016080:Arachnoid Cysts / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D002675:Child, Preschool; D003937:Diagnosis, Differential; D004948:Esotropia / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D005133:Eye Movements; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008279:Magnetic Resonance Imaging; D019635:Neurosurgical Procedures / Q000379:methods; D013508:Ophthalmologic Surgical Procedures / Q000379:methods; D014057:Tomography, X-Ray Computed; D015348:Vision, Binocular / Q000502:physiology