Glaucoma & Cataract, Prof. Eytan Blumenthal | Recurrent Abducens Nerve Palsy Caused By Dolichoectasia Of The Cavernous Internal Carotid Artery

Recurrent Abducens Nerve Palsy Caused By Dolichoectasia Of The Cavernous Internal Carotid Artery

Blumenthal EZ, Gomori JM, Dotan S.

Am J Ophthalmol. 1997 Aug;124(2):255-7.
Department of Ophthalmology, Hadassah University Hospital, Jerusalem, Israel.

ABSTRACT:

PURPOSE: To describe a 59-year-old patient who had seven recurrent, self-limited episodes of isolated ipsilateral abducens nerve palsy in the previous 4 years. Each episode lasted between 2 and 5 weeks.

METHODS: Systemic examination and neuroimaging studies were performed.

RESULT: Repeated comprehensive examination failed to demonstrate any ocular or systemic condition apart from a lateral protrusion by dolichoectasia of the posterior portion of the cavernous left internal carotid artery, compressing the posterior left cavernous sinus.

CONCLUSION: Numerous self-limited episodes of sixth nerve palsy may be associated with structural abnormalities of the intracranial carotid vasculature.

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