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Sixth nerve palsy of para-infectious origin

D Deleu1, M Lagopoulos

  • 1Department of Clinical Pharmacology, College of Medicine, Sultan Qaboos University, PO Box 35, Al Khod, Muscat 123, Sultanate of Oman. Tel. 00 968 515 106. Fax. 00 968 513 419.

Neurosciences (Riyadh, Saudi Arabia)
|November 5, 2013
PubMed

Insights

Acute abducens palsy, a rare adult condition causing double vision, was linked to maxillary sinusitis. This case highlights a para-infectious origin for abducens nerve dysfunction.

Area of Science:

  • Neurology
  • Ophthalmology
  • Infectious Diseases

Background:

  • Acute abducens palsy is uncommon in adults.
  • Para-infectious neurological complications are rare but significant.

Purpose of the Study:

  • To report a case of acute abducens palsy in an adult.
  • To investigate the potential para-infectious origin of abducens palsy.
  • To explore the link between maxillary sinusitis and abducens nerve dysfunction.

Main Methods:

  • Case report of a 28-year-old woman with acute onset diplopia.
  • Clinical examination to diagnose abducens palsy.
  • Magnetic resonance imaging (MRI) of the paranasal sinuses.

Main Results:

  • The patient presented with acute onset diplopia due to abducens palsy.
  • MRI revealed signs of ipsilateral maxillary sinusitis.
  • No direct anatomical connection exists between the maxillary sinus and the abducens nerve.

Conclusions:

  • The abducens palsy in this case is likely of para-infectious origin.
  • Maxillary sinusitis can be implicated in adult abducens palsy through non-anatomical pathways.
  • This case expands the understanding of rare neurological complications of sinusitis.

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