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Updated: Jan 3, 2026

Optic Nerve Transection: A Model of Adult Neuron Apoptosis in the Central Nervous System
Published on: May 12, 2011
Bilateral abducens nerve palsy due to septic thrombophlebitis
Vincent N Vu1, Peter J Savino1,2, Shira L Robbins1
1Ratner Children's Eye Center at the University of California San Diego, 9415 Campus Point Drive, La Jolla, CA, USA.
Purpose:
To report a case of septic thrombophlebitis producing bilateral abducens nerve palsy.
Observation:
A 65 year-old woman with recent sinus surgery experienced the onset of horizontal diplopia during treatment for bacteremia. Computer tomography of head and a neck ultrasonography showed right internal jugular vein occlusion. Ophthalmology examination was consistent with bilateral abducens nerve palsy. She was treated with systemic antibiotics and antiplatelet therapy with resolution of the internal jugular vein occlusion. The diplopia improved over a six-months.
Conclusion And Importance:
Our patient had Lemierre syndrome with an unusual presentation. The patient was treated for septic thrombophlebitis with a resolution of her ocular symptoms.
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