Isolated sixth nerve palsy: an uncommon presenting sign of multiple sclerosis.

Abstract:

:We describe three patients in whom an isolated sixth nerve palsy was the only clinical symptom or sign of multiple sclerosis (MS). Data were collected prospectively over 6 years on these three patients, who showed no other signs of brainstem dysfunction or prior symptoms; in addition. Retrospective analysis of all patients with MS and all patients with sixth nerve palsy referred to a neuro-ophthalmology service between 1982 and 1998 showed isolated sixth nerve palsy to be the presenting sign of MS in only 0.5% of these patients. MS was the cause of isolated sixth nerve palsy in 0.8% of all patients and in 1.6% of those aged 18-50 years. Although it has been previously suggested that sixth nerve palsy is a not uncommon presenting sign of MS, our results suggest it is rare.

journal_name

J Neurol

journal_title

Journal of neurology

authors

Barr D,Kupersmith MJ,Turbin R,Bose S,Roth R

doi

10.1007/s004150070114

keywords:

subject

Has Abstract

pub_date

2000-09-01 00:00:00

pages

701-4

issue

9

eissn

0340-5354

issn

1432-1459

journal_volume

247

pub_type

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