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Cranial Nerve Six Palsy Occurring in PreEclampsia: A Case Report
Laura Chachula1, Christopher Rogers2, Randal Cieslak3
1Aviation Medicine, 25th CAB Soldier Centered Medical Home, Wheeler Army Airfield, HI 96786, United States.
Isolated palsy of cranial nerve VI, also known as the abducens nerve, is a condition rarely seen in the obstetric population; however, there is a growing body of literature that suggests an association with pre-eclampsia and hypertensive disorders of pregnancy. We present the sixteenth case documenting this association involving a 30-year-old G1 admitted for induction of labor at 39 weeks gestational age (WGA) subsequently diagnosed with pre-eclampsia with severe features and, after an otherwise uncomplicated vaginal delivery, developed an isolated abducens nerve palsy. While similar cases reviewed in the current body of literature document self-resolution of the palsy, a thorough workup is warranted because of other potentially malignant causes for this presentation. Appropriate management and risk factor counseling are discussed following a review of cases.
Isolated palsy of cranial nerve VI, also known as the abducens nerve, is a condition rarely seen in the obstetric population; however, there is a growing body of literature that suggests an association with pre-eclampsia and hypertensive disorders of pregnancy. We present the sixteenth case documenting this association involving a 30-year-old G1 admitted for induction of labor at 39 weeks gestational age (WGA) subsequently diagnosed with pre-eclampsia with severe features and, after an otherwise uncomplicated vaginal delivery, developed an isolated abducens nerve palsy. While similar cases reviewed in the current body of literature document self-resolution of the palsy, a thorough workup is warranted because of other potentially malignant causes for this presentation. Appropriate management and risk factor counseling are discussed following a review of cases.
