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- Title
Abducens Nerve Palsy as a Presenting Symptom of Multiple Sclerosis.
- Authors
Sundaram, Arun NE; Gelkopf, Maxwell J.
- Abstract
Multiple sclerosis (MS) is a chronic disorder characterized by demyelination of the central nervous system. It often presents in women aged 18-35 with neurological symptoms such as visual loss, paresthesia, focal weakness, and ataxia. Demyelination in the brainstem can result in internuclear ophthalmoplegia causing binocular horizontal diplopia. Our report details a patient with horizontal diplopia from an isolated abducens (sixth) nerve palsy as the initial symptom of MS. While rare, this demonstrates the importance of including MS in the differential diagnosis for an isolated abducens nerve palsy, especially in younger patients with no known vascular risk factors.
- Subjects
MULTIPLE sclerosis; DIPLOPIA; BRAIN; ABDUCENS nerve diseases; DIFFERENTIAL diagnosis; MAGNETIC resonance imaging; IMMUNOMODULATORS; SPINE; SYMPTOMS
- Publication
Turkish Journal of Ophthalmology / Turk Oftalmoloji Dergisi, 2022, Vol 52, Issue 4, p291
- ISSN
1300-0659
- Publication type
Article
- DOI
10.4274/tjo.galenos.2022.13245