Abducens nerve palsy: differential diagnosis

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Abducens nerve palsy: differential diagnosis. Myasthenia gravis (MG), Duane’s syndrome, Thyroid eye diseases. Fully referenced neurology checklist.

Differential diagnoses of abducens nerve palsy

  • Myasthenia gravis (MG)
  • Duane’s syndrome
  • Thyroid eye diseases
  • Convergence spasm
  • Lateral rectus myositis
  • Lateral rectus metastases
  • Old blowout fracture of the orbit

Treatment of abducens nerve palsy

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Synonyms

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References

  1. Azarmina M, Azarmina H. The six syndromes of the sixth cranial nerve. J Ophthalmic Vis Res 2013; 8:160-171.
  2. Vishwanath MR, Nischal KK, Carr LJ. Juvenile myasthenia gravis mimicking recurrent VI nerve palsy of childhood. Arch Dis Child 2004; 89:90. 
  3. Smit L. A case of convergence spasms-do not be caught off-guard. S Afr Med J 2016; 106:1188-1189. 
  4. Haslinda AR, Shatriah I, Azhany Y, Nik-Ahmad-Zuky NL, Yunus R. Lateral rectus myositis mimicking an abducens nerve palsy in a pregnant woman. Ophthal Plast Reconstr Surg 2014; 30:e13-e15. 
  5. Masoud MT, Rehman A, Shaikh Y. Lateral rectus metastasis from an occult systemic malignancy masquerading as abducens palsy: a case report. J Med Case Rep 2008; 2:194. 
  6. And 3 more. Subscribe to see the full list

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