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Abducens nerve palsy complicating pregnancy: a case report
1Department of Obstetrics and Gynecology, Prince of Wales Hospital, Chinese University of Hong Kong, Shatin. fungty@cuhk.edu.uk
Summary
Abducens nerve palsy in late pregnancy, often linked to hypertension, typically resolves post-delivery. This benign condition requires no specific pathology identification for management.
Area of Science:
- Neurology
- Obstetrics
- Ophthalmology
Background:
- Abducens nerve palsy (cranial nerve VI palsy) can occur during pregnancy.
- Understanding its etiology and clinical course in pregnant patients is crucial for appropriate management.
Observation:
- A case of abducens nerve palsy presented at 38 weeks gestation.
- No specific underlying pathology was identified in this patient.
Findings:
- A review of previous cases revealed hypertension as a common factor in pregnancies with abducens nerve palsy presenting late in gestation.
- The clinical presentation of abducens nerve palsy in late pregnancy is generally benign.
Implications:
- Hypertension should be considered in pregnant patients presenting with abducens nerve palsy, particularly in late gestation.
- The condition is expected to resolve spontaneously after delivery, suggesting a favorable prognosis.