Diferencia entre revisiones de «Sixth nerve palsy»
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Revisión del 14:35 7 sep 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
- Frequently present with diplopia and esotropia
- 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
Diagnostic Evaluation
Management
Disposition
Dispo appropriate to etiology, consult either Neuro or Ophtho.