Diferencia entre revisiones de «Sixth nerve palsy»
| Línea 17: | Línea 17: | ||
* Congenital Esotropia | * Congenital Esotropia | ||
* Meningitis | * Meningitis | ||
==Diagnosis== | |||
==Management== | ==Management== | ||
*POC glucose | |||
*CBC | *CBC | ||
*BMP | *BMP | ||
*CT/MRI Brain | *CT/MRI Brain | ||
*ESR | *ESR | ||
Revisión del 02:34 29 ago 2015
Background
- Most common ocular nerve palsy
- Innervates the ipsilateral lateral rectus muscle controlling eye abduction
- Esotropia of the affected eye due to the unopposed action of the medial rectus muscle.
Clinical Features
Patients with a CN VI palsy frequently present with diplopia and esotropia. They may have a head turn to help correct their diplopia.
Differential Diagnosis
- Giant Cell Arteritis
- Medial Orbital Fracture (with entrapment of the medial rectus muscle)
- ocular Myasthenia Gravis
- Miller-Fisher Syndrome Guillian-Barre Syndrome
- Congenital Esotropia
- Meningitis
Diagnosis
Management
- POC glucose
- CBC
- BMP
- CT/MRI Brain
- ESR
- Lyme Titer
- RPR
Disposition
Dispo appropriate to etiology, consult either Neuro or Ophtho.