A sweet case of bilateral sixth nerve palsies.
A 70-year-old woman with a history of diabetes mellitus and arterial hypertension presented with bilateral abduction deficits consistent with bilateral sixth nerve paresis. A diagnostic evaluation including magnetic resonance imaging and lumbar puncture was unrevealing. The bilateral sixth nerve paresis spontaneously resolved suggesting ischemic or microvascular disease as the underlying etiology.
Gupta
Preeya K
PK
Department of Ophthalmology, Duke University Eye Center, Durham, North Carolina 27710-3802, USA.
Bhatti
M Tariq
MT
Rucker
Janet C
JC
D000010:Abducens Nerve / Q000098:blood supply; D020434:Abducens Nerve Diseases / Q000209:etiology* / Q000503:physiopathology; D000368:Aged; D048909:Diabetes Complications; D004172:Diplopia / Q000209:etiology* / Q000503:physiopathology; D005260:Female; D007839:Functional Laterality; D006801:Humans; D006973:Hypertension / Q000150:complications; D007511:Ischemia / Q000150:complications; D008279:Magnetic Resonance Imaging; D009767:Obesity, Morbid / Q000150:complications; D015835:Ocular Motility Disorders / Q000209:etiology / Q000503:physiopathology; D013129:Spinal Puncture; D015348:Vision, Binocular