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Isolated abducens nerve palsy: an unusual presentation of leukemia
Kuo-Shin Chen1, Iou-Jih Hung, Kuang-Lin Lin
1Division of Pediatric Neurology, Chang Gung Children's Hospital, Medical College of Chang Gung University, Taoyuan, Taiwan.
Journal of Child Neurology
|February 15, 2003
Abstract:
We present a case of isolated abducens nerve palsy with negative magnetic resonance imaging (MRI) findings and unusual cerebrospinal fluid results. The patient was treated for a central nervous system infection initially. After the second cerebrospinal fluid examination, a diagnosis of central nervous system leukemia was made. Isolated abducens nerve palsy is not always a stable or benign illness, even with a normal brain MRI study. Abnormal cerebrospinal fluid results should suggest the presence of a central nervous system malignancy.