scholarly journals Seropositive Muscle-Specific Tyrosine Kinase Myasthenia Gravis Presenting as a Late-Onset Isolated Sixth Nerve Palsy: A Case Report and a Brief Review of Subtypes of Myasthenia Gravis

Cureus ◽  
2021 ◽  
Author(s):  
Gyusik Park ◽  
Hassan Kesserwani
Keyword(s):  
Case Report ◽  
Tyrosine Kinase ◽  
Myasthenia Gravis ◽  
Nerve Palsy ◽  
Late Onset ◽  
Sixth Nerve Palsy ◽  
Sixth Nerve

scholarly journals Case Report: The Dilemma of Imaging an Isolated Sixth Nerve Palsy

2020 ◽  
pp. 35-43
Author(s):  
Shannon Santapaola ◽  
Cheryl Haskes ◽  
Richard Sui
Keyword(s):  
Case Report ◽  
Nerve Palsy ◽  
Gamma Knife Radiosurgery ◽  
Diagnostic Dilemma ◽  
Sixth Nerve Palsy ◽  
Neoplastic Lesion ◽  
Patient Reported ◽  
Wait And See ◽  
Neuro Imaging ◽  
Sixth Nerve

Background: Traditionally, eyecare providers employ a wait-and-see approach with respect to older patients presenting with a presumed vasculopathic isolated sixth nerve palsy. However, given review of recent literature and the potential of morbidity in these patients, acute neuroimaging should be strongly considered. Eyecare providers are often faced with challenging decisions when patients present with acute isolated oculomotor nerve palsies. This case highlights the diagnostic dilemma of an older patient with significant vasculopathic risk factors who presents with an isolated sixth nerve palsy. For patients older than 50, a vasculopathic etiology is the most likely cause, however, a small but significant percentage of these patients may suffer from a more ominous condition such as, giant cell arteritis, intracranial mass, or aneurysm. As evidenced by our case, acute neuro imaging should be considered in all isolated sixth nerve palsies. Case Report: A 69- year old Caucasian male presented to the VA Connecticut Healthcare System with new onset diplopia. The patient reported a recent history of mild orbital pain and headaches. Evaluation revealed an isolated left sixth nerve palsy. A microvascular etiology was presumed given his strong vasculopathic history. One week later the patient returned to clinic with a new left pupil-sparing third nerve palsy in addition to his original left sixth nerve palsy. Magnetic resonance imaging of the brain and orbits with and without contrast revealed a left cavernous sinus mass. The patient was transferred to the Smilow Cancer Hospital at Yale-New Haven and received gamma knife radiosurgery for the presumed neoplastic lesion. Conclusion: Although support can be made for both a “wait-and-see” approach and acute diagnostic imaging, our case highlights the benefits of early imaging. Appropriate acute neuro imaging in patients with presenting isolated sixth nerve palsies can be lifesaving.

scholarly journals The diagnostic dilemma of a pregnant woman presenting with an isolated sixth nerve palsy: A case report

2019 ◽  
Vol 13 (4) ◽  
pp. 195-197
Author(s):  
Nithya Rengaraj ◽  
Anish Keepanasseril ◽  
Gowri Dorairajan ◽  
Murali Subbaiah ◽  
Pradeep P Nair ◽  
...  
Keyword(s):  
Case Report ◽  
Pregnant Woman ◽  
Pregnant Women ◽  
Nerve Palsy ◽  
Sinus Thrombosis ◽  
Abducens Nerve ◽  
Cavernous Sinus Thrombosis ◽  
Diagnostic Dilemma ◽  
Sixth Nerve Palsy ◽  
Sixth Nerve

Pregnant women presenting with isolated cranial palsies are uncommon. Isolated sixth nerve (abducens nerve) palsy can occur for a variety of reasons and neuroimaging is often performed to identify an underlying cause. We report a case of a woman in her third pregnancy with preeclampsia who presented with an isolated sixth nerve palsy. The diagnosis of aseptic cavernous sinus thrombosis was made and she subsequently made a full recovery.

Isolated bilateral sixth nerve palsy secondary to metastatic carcinoma: a case report with a review of the literature

2003 ◽  
Vol 106 (1) ◽  
pp. 51-55 ◽  
Author(s):  
Zafer Kocak ◽  
Yahya Celik ◽  
M.Cem Uzal ◽  
Kazim Uygun ◽  
Meryem Kaya ◽  
...  
Keyword(s):  
Case Report ◽  
Nerve Palsy ◽  
Metastatic Carcinoma ◽  
Review Of The Literature ◽  
Sixth Nerve Palsy ◽  
Sixth Nerve

scholarly journals Benign isolated sixth nerve palsy in a child- a case report

2017 ◽  
Vol 4 (1) ◽  
pp. 35-37
Author(s):  
Dr. Aniruddha Ghosh ◽  
◽  
Dr. Swapan Mukhopadhyay ◽  
Keyword(s):  
Case Report ◽  
Nerve Palsy ◽  
Sixth Nerve Palsy ◽  
Sixth Nerve

scholarly journals Tuberculoma presenting as isolated sixth nerve palsy: A rare case report

2017 ◽  
Vol 14 (1) ◽  
Author(s):  
Deepak Jain ◽  
H K Aggarwal ◽  
Avinash Rao ◽  
Shaveta Dahiya
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Nerve Palsy ◽  
Sixth Nerve Palsy ◽  
Rare Case Report ◽  
Sixth Nerve

Bevacizumab-induced transient sixth nerve palsy in ovarian cancer: A case report

2013 ◽  
Vol 12 (1) ◽  
pp. e196-e198 ◽  
Author(s):  
Mazdak Momeni ◽  
Laura Veras ◽  
Konstantin Zakashansky
Keyword(s):  
Ovarian Cancer ◽  
Case Report ◽  
Nerve Palsy ◽  
Sixth Nerve Palsy ◽  
Sixth Nerve
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