Diferencia entre revisiones de «Sixth nerve palsy»
(format) |
Sin resumen de edición |
||
| Línea 6: | Línea 6: | ||
==Clinical Features== | ==Clinical Features== | ||
*Frequently present with '''diplopia''' and '''esotropia''' | |||
*May have a '''head turn''' to help correct their diplopia | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
Revisión del 14:34 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
Diagnosis
Management
- POC glucose
- CBC
- BMP
- CT/MRI Brain
- ESR
- Lyme Titer
- RPR
Disposition
Dispo appropriate to etiology, consult either Neuro or Ophtho.