Sixth Nerve Palsy

Definition

Cranial nerve six supplies the lateral rectus muscle allowing for outward (abduction) eye movement. A sixth nerve palsy, also known as abducens nerve palsy, is a neurological defect resulting from an impaired sixth nerve or the nucleus that controls it. This may result in horizontal double vision (diplopia) with in turning of the eye and decreased lateral movement.

Description

Isolated sixth nerve palsies usually manifest as a horizontal diplopia worse when looking towards the affected eye, with a decreased ability to abduct. Since the sixth nerve only innervates the lateral rectus muscle, isolated palsies will only manifest in this fashion.

Demographics

Sixth nerve palsies have no predilection for males or females and can occur at any age.

Causes and symptoms

For all intensive purposes causes of abducens nerve palsy can be classified as congenital or acquired. Isolated...

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