| Title |
Isolated Sixth Nerve Palsy From Hemorrhage of a Pontine Cavernous Malformation |
| Creator |
Mallery, Robert M; Klein, Joshua P; Pless, Misha L |
| Affiliation |
Department of Neurology (RMM, MLP), Massachusetts General Hospital, Boston, Massachusetts; and Department of Neurology (RMM, JPK), Brigham and Women's Hospital, Boston, Massachusetts |
| Abstract |
A 32-year-old woman who developed binocular horizontal diplopia was found to have an isolated fascicular sixth nerve palsy secondary to hemorrhage of a cavernous malformation within the left pontine tegmentum. There was sparing of the paramedian pontine reticular formation and absence of a horizontal gaze palsy. The natural history of cavernous malformations and a mechanism by which hemorrhage of these vascular lesions may produce minimal neurologic signs, including isolated ocular motor cranial nerve palsies, is discussed. Magnetic resonance imaging (MRI) that includes susceptibility-weighted sequences leads to their accurate diagnosis. |
| Subject |
Abducens Nerve Diseases; Adult; Female; Hemorrhage; Humans; Magnetic Resonance Imaging; Nervous System Malformations; Pons |
| 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 |
227352 |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6x383kt/227352 |
