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Neurological picture
Concomitant sixth nerve and seventh nerve palsies
  1. Aileen A Antonio-Santos,
  2. Eric R Eggenberger
  1. Department of Neurology and Ophthalmology, Michigan State University, East Lansing, Michigan, USA
  1. 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

https://doi.org/10.1136/jnnp.2009.182782

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    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 …

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    Footnotes

    • Competing interests None.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.