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Case of the week
5 ( October 2011
)
Acute 6th Nerve Palsy
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Acute Lt 6th Nerve Palsy |
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One Month Later |
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4 Months later
Full recovery |
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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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الموقع المصري للحول
وامراض الجهاز الحركي للعين
The Egyptian Site of
Strabismus & Oculomotor Disorders