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Case of the week 5 ( October 2011 )
Acute 6th Nerve Palsy   



Acute Lt 6th Nerve Palsy
 
One Month Later
 
4 Months later
Full recovery

The diagnosis of Acute  6th Nerve Palsy
 should not present any difficulties :

  1.There is marked limited abduction of the paretic eye .

  2.The greatest esotropia occurs on attempts to abduct the paretic eye .

  3. Most patients will complain about double vision in lateral gaze and assume a compensatory face turn in the direction of the paralyzed muscle

Several recent studies have addressed that in non-traumatic unilateral  cases 78% experienced spontaneous recovery  by 24 weeks

See the videos of this patient and how he acquired almost full abduction of the Lt paretic eye after only one month and full recovery within 4 months



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