| Title |
Isolated fascicular abducens nerve palsy and Lyme disease. |
| Creator |
Mastrianni, JA; Steven L. Galetta, MD, NYU Langone; Raps, EC; Grant T. Liu, MD. Professor of Neurology, University of Pennsylvania; Nicholas J Volpe, MD, Northwestern University |
| Affiliation |
Department of Neurology, Hospital of the University of Pennsylvania, Philadelphia 19104. |
| Abstract |
A patient with Lyme disease developed an isolated sixth nerve palsy at the end of a 1 month course of oral antibiotics. Magnetic resonance imaging disclosed high-signal abnormality at the left pontomedullary junction, implicating involvement of the distal sixth nerve fascicle. Although facial numbness ensued during a subsequent course of intravenous antibiotics, corticosteroid therapy was associated with prompt improvement of neurologic signs, suggesting an immunologic mechanism for the central nervous system dysfunction. |
| Subject |
Abducens Nerve; Fasciculation; Lyme Disease; Magnetic Resonance Imaging; Ophthalmoplegia |
| Format |
application/pdf |
| Publication Type |
Journal Article |
| Collection |
Neuro-Ophthalmology Virtual Education Library: Journal of Neuro-Ophthalmology Archives: https://novel.utah.edu/jno/ |
| Publisher |
Lippincott, Williams & Wilkins |
| Holding Institution |
Spencer S. Eccles Health Sciences Library, University of Utah |
| Rights Management |
© North American Neuro-Ophthalmology Society |
| Setname |
ehsl_novel_jno |
| ID |
224646 |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6km2hwm/224646 |
