Bilateral 6th nerve palsies due to idiopathic intracranial hypertension

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Identifier Bilateral_6th_IIH
Title Bilateral 6th nerve palsies due to idiopathic intracranial hypertension
Subject Sixth Nerve Palsy, Abnormal Range
Creator Daniel R. Gold, DO, Departments of Neurology, Ophthalmology, Neurosurgery, Otolaryngology - Head & Neck Surgery, Emergency Medicine, and Medicine, The Johns Hopkins School of Medicine; Stephen Reich, MD, Professor of Neurology, The Frederick Henry Prince Distinguished Professor in Neurology, Department of Neurology University of Maryland School of Medicine
Description This is a 25-year-old woman who presented with diplopia and blurry vision. On exam, she was found to have papilledema and bilateral 6th nerve palsies. Her opening pressure was >40 cm of water with a normal CSF analysis, and neuroimaging was unremarkable aside from subtle findings that have been associated with elevated intracranial pressure (e.g., partially empty sella, distended optic nerve sheaths, flattening of the posterior sclera). Idiopathic intracranial hypertension was diagnosed, and Diamox therapy was initiated. There was gradual resolution of papilledema and 6th nerve palsies over weeks. Because the 6th nerve is fixed where it pierces the dura, either elevated or low intracranial pressure can be lead to unilateral or bilateral 6th nerve palsies.
Contributor Daniel R. Gold, D.O.; Departments of Neurology, Ophthalmology, Neurosurgery, Otolaryngology - Head & Neck Surgery; The Johns Hopkins School of Medicine; Stephen G. Reich, M.D.; Professor of Neurology; The Frederick Henry Prince Distinguished Professor in Neurology; Department of Neurology; University of Maryland School of Medicine
Publisher Spencer S. Eccles Health Sciences Library, University of Utah
Date 2017
Format video/mp4
Rights Management Copyright 2017. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright
Collection Neuro-ophthalmology Virtual Education Library: NOVEL http://NOVEL.utah.edu
Language eng
ARK ark:/87278/s6pc6w67
Setname ehsl_novel_gold
Date Created 2017-07-26
Date Modified 2018-02-22
ID 1256233
Reference URL https://collections.lib.utah.edu/ark:/87278/s6pc6w67
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