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Sixth nerve palsy is frequently due to a benign process with full recovery within weeks, yet caution is warranted as it may portend a serious neurologic process This is a small muscle that attaches to the outer side of your eye. Hence, early diagnosis is often critical for some conditions that present with sixth nerve palsy.
Sixth nerve palsy is a condition where damage to a specific nerve disrupts eye movement and alignment The sixth cranial nerve sends signals to your lateral rectus muscle A sixth cranial nerve palsy most commonly arises from an acquired lesion occurring anywhere along its path between the sixth nucleus in the dorsal pons and the lateral rectus muscle within the orbit
The clinical manifestations, evaluation, and diagnosis of sixth nerve palsy are reviewed here.
Nearly any cause of focal nerve palsy can also be recurrent and involve other cranial nerves Diabetes is the most common These are presumed to be vascular Cranial neuropathy can develop for many different reasons
Infections in the spinal fluid can irritate cranial nerves For example, lyme disease often affects the seventh nerve But it can cause problems with any cranial nerve Cancer cells can spread to the spinal fluid and damage one or more cranial nerves.
This palsy causes impaired abduction and horizontal diplopia.
Patients with abducens nerve palsy are unable to move the affected eye laterally in order to avoid diplopia, patients will turn their heads away from the lesion so that both eyes are looking sideways People with sixth nerve palsy may not be able to move one eye outward The amount of movement that is lost can vary, in some people it may be complete, in others only partial. Neurologic symptoms are quite common in multiple myeloma, but direct invasion of central nervous system is extremely rare
Leptomeningeal multiple myeloma, as a rare neurological manifestation of multiple myeloma, presents with impairment of consciousness, cranial nerve palsies and convulsions. Sixth nerve palsy occurs when the sixth cranial nerve is damaged or doesn't work right It's also known as the abducens nerve This condition causes problems with eye movement
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