Isolated Bilateral Fascicular Sixth Cranial Palsies as Initial Presentations of Multiple Sclerosis

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Identifier 19900205_nanos_sciplatform2_03
Title Isolated Bilateral Fascicular Sixth Cranial Palsies as Initial Presentations of Multiple Sclerosis
Creator Felton, Warren L; Rajpal, Rajesh K
Subject Binocular Horizontal Diplopia; Mild Paresthesias; Multiple Sclerosis; Bilateral Central Sixth Nerve Palsies
Description A 41 year old male presented with acute onset binocular horizontal diplopia of two weeks duration. Diplopia was described as greater at distance and present in both right and left gaze. Mild paresthesias affecting the distal aspects of the upper extremities, left greater than right, had been noted for several weeks. Over the preceding several years the patient had noted increasing difficulty in sporting activities. There were no other symptoms. Past medial history was notable only for depression. The patient took no medication. Visual acuity measured 20/20 in each eye. Color vision, pupillary response, funduscopic appearance, general, neurologic and slit lamp examinations were normal. Examination of extra-ocular movements demonstrated left esotropia and mild bilateral paresis of abduction, confirmed by red glass cover test. Oculovestibular maneuver failed to achieve a greater degree of abduction than that obtained by testing of versions and ductions. Saccadic velocities and smooth pursue~ were otherwise judged o be normal in horizontal and vertical planes. There was subtle non-sustained, gaze dependent, conjugate horizontal nystagmus. There was no evidence of internuclear ophthalmoplegia. Near response was intact.
Relation is Part of NANOS 1990: Scientific Platform Presentations (Session 2)
Contributor Primary Carlow, Thomas J
Publisher Spencer S. Eccles Health Sciences Library, University of Utah
Date 1990-02-05
Type Text
Format application/pdf
Format Creation application/pdf
Source 1990 North American Neuro-Ophthalmology Society Annual Meeting
Rights Management Copyright 2010. For further information regarding the rights to this collection, please visit:
Holding Institution North American Neuro-Ophthalmology Association. NANOS Executive Office 5841 Cedar Lake Road, Suite 204, Minneapolis, MN 55416
Collection Neuro-ophthalmology Virtual Education Library: NOVEL
Language eng
ARK ark:/87278/s6xs921h
Setname ehsl_novel_nam
ID 183110
Reference URL
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