Concomitant sixth nerve and seventh nerve palsies
- Department of Neurology and Ophthalmology, Michigan State University, East Lansing, Michigan, USA
- Correspondence to Dr A A Antonio-Santos, Department of Neurology and Ophthalmology, Michigan State University, A217 Clinical Center, 138 Service Road, East Lansing, Michigan, USA; aileen.antonio{at}ht.msu.edu
- Accepted 10 June 2009
A previously healthy 24-year-old woman presented with binocular horizontal diplopia. Two weeks later she developed a right facial palsy without ageusia or hyperacusis. Examination revealed limited abduction OD with a 4 prism diopters of esotropia in primary gaze, increasing to 12 prism diopters in right gaze. These clinical findings are consistent with a right abducens palsy and a partial lower motor neuron palsy of the right facial nerve. MRI revealed an enhancing focus of increased …
