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Progressive ophthalmoplegia with acute ischemic abducens nerve palsies
1Department of Neurology, Marshfield Clinic, Marshfield, WI 54449, USA. jacobsod@mfldclin.edu
Purpose:
To determine the frequency of early progression of opthalmoplegia in patients with acute ischemic abducens nerve palsies.
Methods:
Patients with ischemic abducens nerve palsy examined within one week from the onset of symptoms were identified using predetermined entry criteria and serially followed up using a standardized ophthalmoplegia grading scheme.
Results:
Only two of the 35 patients initially had a complete abduction deficit. Of the 33 patients who initially had an incomplete abduction deficit, 18 (54%) showed progression of their ophthalmoplegia.
Conclusions:
Patients with acute incomplete ischemic abducens nerve palsies frequently demonstrate early progression of their ophthalmoplegia.