Sixth nerve palsy - Revision history

Rossdonaldson1: /* Clinical Features */

2021-07-28T20:44:00Z

Clinical Features

← Older revision		Revision as of 20:44, 28 July 2021
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	==Clinical Features==		==Clinical Features==
	[[File:Abducens palsy.jpg\|thumb\|Limitation of abduction of the right eye when looking to the right.]]		[[File:Abducens palsy.jpg\|thumb\|Limitation of abduction of the right eye when looking to the right.]]
			[[File:PMC3663068 kjo-27-219-g002.png\|thumb\|Paresis of the abducens nerve (demonstrated in the right eye when looking to the right).]]
	===History===		===History===
	*May complain of:<ref name="tint">Tintinalli JE, Kelen GD, Stapczynski JS, Ma, OJ, Cline DM, editors. Tintinalli’s Emergency Medicine. 7th ed. New York: McGraw-Hill; 2011. 763, 1037, 1546</ref><ref name="rosen">Marx JA, Hockberger RS, Walls RM, et al., eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. Philadelphia, PA: Mosby/Elsevier; 2013</ref>		*May complain of:<ref name="tint">Tintinalli JE, Kelen GD, Stapczynski JS, Ma, OJ, Cline DM, editors. Tintinalli’s Emergency Medicine. 7th ed. New York: McGraw-Hill; 2011. 763, 1037, 1546</ref><ref name="rosen">Marx JA, Hockberger RS, Walls RM, et al., eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. Philadelphia, PA: Mosby/Elsevier; 2013</ref>

Josgood: /* Differential Diagnosis */

2020-11-09T21:43:30Z

Differential Diagnosis

← Older revision		Revision as of 21:43, 9 November 2020
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	*''Neoplastic'': [[brain tumor\|Lesions]] in the cerebellopontine angle. In children – pontine glioma		*''Neoplastic'': [[brain tumor\|Lesions]] in the cerebellopontine angle. In children – pontine glioma
	*''Degenerative/deficiency'': [[vitamin B12 deficiency\|Vitamin B deficiency]], [[Wernicke-Korsakoff syndrome]]		*''Degenerative/deficiency'': [[vitamin B12 deficiency\|Vitamin B deficiency]], [[Wernicke-Korsakoff syndrome]]
	*''~~Idiopathic~~'': Post-[[lumbar puncture]], status-post surgery involving head		*''Iatrogenic'': Post-[[lumbar puncture]], status-post surgery involving head
	*''Infection'': [[Meningitis]], [[lyme disease]], [[syphilis]]		*''Infection'': [[Meningitis]], [[lyme disease]], [[syphilis]]
	*''Congenital'': Rare to find true congenital sixth nerve palsy		*''Congenital'': Rare to find true congenital sixth nerve palsy

Rossdonaldson1: /* Background */

2020-09-26T16:21:57Z

Background

← Older revision		Revision as of 16:21, 26 September 2020
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	==Background==		==Background==
	[[File:Gray785.png\|thumb\|Figure showing the mode of innervation of the recti lateralis from CNII.]]		[[File:Gray785.png\|thumb\|Figure showing the mode of innervation of the recti lateralis from CNII.]]
	[[File:Capture2.PNG\|thumbnail]]		[[File:Capture2.PNG\|thumbnail\|Right eye]]
	[[File:Extraocular muscle actions and innervation.png\|thumb\|Eye movements by extra-ocular muscles and cranial nerve innervation]]		[[File:Extraocular muscle actions and innervation.png\|thumb\|Eye movements by extra-ocular muscles and cranial nerve innervation]]
	*Also called 6th cranial nerve (CN VI) or abducens nerve palsy		*Also called 6th cranial nerve (CN VI) or abducens nerve palsy

Rossdonaldson1 at 16:11, 26 September 2020

2020-09-26T16:11:10Z

← Older revision		Revision as of 16:11, 26 September 2020
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	==Background==		==Background==
	[[File:Gray785.png\|thumb\|Figure showing the mode of innervation of the recti lateralis from CNII.]]		[[File:Gray785.png\|thumb\|Figure showing the mode of innervation of the recti lateralis from CNII.]]
	[[File:~~Extraocular muscle actions and innervation~~.~~png~~\|~~thumb\|Eye movements by extra-ocular muscles and cranial nerve innervation~~]]		[[File:Capture2.PNG\|thumbnail]]
	[[File:Extraocular muscle actions and innervation.png\|thumb\|Eye movements by extra-ocular muscles and cranial nerve innervation]]		[[File:Extraocular muscle actions and innervation.png\|thumb\|Eye movements by extra-ocular muscles and cranial nerve innervation]]
	*Also called 6th cranial nerve (CN VI) or abducens nerve palsy		*Also called 6th cranial nerve (CN VI) or abducens nerve palsy

Rossdonaldson1 at 16:10, 26 September 2020

2020-09-26T16:10:33Z

← Older revision		Revision as of 16:10, 26 September 2020
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	==Background==		==Background==
	[[File:Gray785.png\|thumb\|Figure showing the mode of innervation of the recti lateralis from CNII.]]		[[File:Gray785.png\|thumb\|Figure showing the mode of innervation of the recti lateralis from CNII.]]
			[[File:Extraocular muscle actions and innervation.png\|thumb\|Eye movements by extra-ocular muscles and cranial nerve innervation]]
	[[File:Extraocular muscle actions and innervation.png\|thumb\|Eye movements by extra-ocular muscles and cranial nerve innervation]]		[[File:Extraocular muscle actions and innervation.png\|thumb\|Eye movements by extra-ocular muscles and cranial nerve innervation]]
	*Also called 6th cranial nerve (CN VI) or abducens nerve palsy		*Also called 6th cranial nerve (CN VI) or abducens nerve palsy

Rossdonaldson1: /* Background */

2020-09-26T15:56:04Z

Background

← Older revision		Revision as of 15:56, 26 September 2020
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	==Background==		==Background==
			[[File:Gray785.png\|thumb\|Figure showing the mode of innervation of the recti lateralis from CNII.]]
	[[File:Extraocular muscle actions and innervation.png\|thumb\|Eye movements by extra-ocular muscles and cranial nerve innervation]]		[[File:Extraocular muscle actions and innervation.png\|thumb\|Eye movements by extra-ocular muscles and cranial nerve innervation]]
	*Also called 6th cranial nerve (CN VI) or abducens nerve palsy		*Also called 6th cranial nerve (CN VI) or abducens nerve palsy

Rossdonaldson1: Rossdonaldson1 moved page Abducens nerve palsy to Sixth nerve palsy

2020-09-26T15:53:54Z

Rossdonaldson1 moved page Abducens nerve palsy to Sixth nerve palsy

← Older revision	Revision as of 15:53, 26 September 2020
(No difference)

Rossdonaldson1: /* Background */

2020-09-26T15:53:38Z

Background

← Older revision		Revision as of 15:53, 26 September 2020
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	==Background==		==Background==
	[[File:Extraocular muscle actions and innervation.png\|thumb\|Eye movements by extra-ocular muscles and cranial nerve innervation]]		[[File:Extraocular muscle actions and innervation.png\|thumb\|Eye movements by extra-ocular muscles and cranial nerve innervation]]
	*Also called 6th cranial nerve (CN VI)		*Also called 6th cranial nerve (CN VI) or abducens nerve palsy
	*Most common [[ocular nerve palsy]]		*Most common [[ocular nerve palsy]]
	*Innervates the ipsilateral lateral rectus muscle controlling eye abduction		*Innervates the ipsilateral lateral rectus muscle controlling eye abduction

Rossdonaldson1: /* Clinical Features */

2020-09-26T15:52:54Z

Clinical Features

← Older revision		Revision as of 15:52, 26 September 2020
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	==Clinical Features==		==Clinical Features==
			[[File:Abducens palsy.jpg\|thumb\|Limitation of abduction of the right eye when looking to the right.]]
	===History===		===History===
	*May complain of:<ref name="tint">Tintinalli JE, Kelen GD, Stapczynski JS, Ma, OJ, Cline DM, editors. Tintinalli’s Emergency Medicine. 7th ed. New York: McGraw-Hill; 2011. 763, 1037, 1546</ref><ref name="rosen">Marx JA, Hockberger RS, Walls RM, et al., eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. Philadelphia, PA: Mosby/Elsevier; 2013</ref>		*May complain of:<ref name="tint">Tintinalli JE, Kelen GD, Stapczynski JS, Ma, OJ, Cline DM, editors. Tintinalli’s Emergency Medicine. 7th ed. New York: McGraw-Hill; 2011. 763, 1037, 1546</ref><ref name="rosen">Marx JA, Hockberger RS, Walls RM, et al., eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. Philadelphia, PA: Mosby/Elsevier; 2013</ref>

Rossdonaldson1: /* Background */

2020-09-26T15:50:32Z

Background

← Older revision		Revision as of 15:50, 26 September 2020
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	[[File:Extraocular muscle actions and innervation.png\|thumb\|Eye movements by extra-ocular muscles and cranial nerve innervation]]		[[File:Extraocular muscle actions and innervation.png\|thumb\|Eye movements by extra-ocular muscles and cranial nerve innervation]]
	*Also called 6th cranial nerve (CN VI)		*Also called 6th cranial nerve (CN VI)
	*Most common ocular nerve palsy		*Most common [[ocular nerve palsy]]
	*Innervates the ipsilateral lateral rectus muscle controlling eye abduction		*Innervates the ipsilateral lateral rectus muscle controlling eye abduction
	*Esotropia (eye moves inward) of the affected eye due to the unopposed action of the medial rectus muscle, innervated by the oculomotor nerve (CN III) <ref name="tint">Tintinalli JE, Kelen GD, Stapczynski JS, Ma, OJ, Cline DM, editors. Tintinalli’s Emergency Medicine. 7th ed. New York: McGraw-Hill; 2011. 763, 1037, 1546</ref>		*Esotropia (eye moves inward) of the affected eye due to the unopposed action of the medial rectus muscle, innervated by the oculomotor nerve (CN III) <ref name="tint">Tintinalli JE, Kelen GD, Stapczynski JS, Ma, OJ, Cline DM, editors. Tintinalli’s Emergency Medicine. 7th ed. New York: McGraw-Hill; 2011. 763, 1037, 1546</ref>