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Benign abducens nerve palsy of childhood
H A Cohen1, M Nussinovitch, A Ashkenazi
1Department of Pediatrics, Golda Medical Center, Hasharon Hospital, Sackler School of Medicine, Tel Aviv University, Petach Tikvah, Israel.
Insights
Benign acquired isolated abducens nerve palsy in children is rare, with even rarer recurrence. This study reports six cases, noting that while most recover, some experience recurrent episodes.
Area of Science:
- Ophthalmology
- Pediatric Neurology
Background:
- Benign acquired isolated abducens nerve palsy is a rare condition in pediatric patients.
- Diagnosis relies on excluding other potential causes.
Observation:
- Six children (1 male, 5 females) aged 8 months to 12 years presented with isolated abducens nerve palsy.
- All cases involved the left abducens nerve.
- Recovery was observed within 18-55 days.
Findings:
- Three out of six patients experienced recurrence of abducens nerve palsy.
- Recurrent episodes resolved completely within 10-21 days.
Implications:
- Recurrence, though uncommon, can occur in benign acquired isolated abducens nerve palsy.
- Understanding recurrence patterns aids in managing pediatric ophthalmological conditions.
Abstract:
Benign acquired isolated abducens nerve palsy in infants and children is a rare condition and recurrence is even less common. The diagnosis is essentially one of exclusion. Six children (1 male, 5 females) are reported with benign isolated abducens nerve palsy, ranging in age from 8 months to 12 years (median: 5.5 years). The left side was affected in all patients. Recovery occurred within 18-55 days, but 3 patients developed recurrence with complete resolution of symptoms within 10-21 days.