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Short report
Periodic abducens nerve palsy in adults caused by neurovascular compression
  1. K A Sandvand1,
  2. G Ringstad2,
  3. E Kerty3
  1. 1
    Department of Ophthalmology, Sykehuset i Vestfold, Tönsberg, Norway
  2. 2
    Department of Radiology, Rikshospitalet, University of Oslo, Norway
  3. 3
    Department of Neurology, Division of Clinical Neuroscience, Rikshospitalet, University of Oslo, Norway
  1. Emilia Kerty, MD, PhD, Department of Neurology, Division of Clinical Neuroscience, Rikshospitalet, University of Oslo, 0027 Oslo, Norway; emilia.kerty{at}medisin.uio.no

Abstract

Unilateral abducens nerve palsy with periodic recurrences is a well-recognised finding in children, but is rare in adults. The underlying pathophysiological mechanism is unknown. Vascular compression of the nerve is suspected but never demonstrated. We describe an adult patient with, altogether, 11 periods of unilateral right-sided abducens palsy and arterial contact at the root exit zone of the symptomatic side.

  • abducens palsy
  • recurrent
  • neurovascular contact

https://doi.org/10.1136/jnnp.2007.124321

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    Footnotes

    • Competing interests: None.