Unilateral sixth nerve palsy.

Abstract

BACKGROUND:

The diagnosis of cerebral venous sinus thrombosis still remains a real challenge. Seizure, unusual headache with sudden onset, unexplained persistently unilateral vascular headache and neurologic deficit-which is difficult to be attributed to a vascular territory are some of the suggestive symptoms.

CASE:

An isolated sixth nerve palsy is discussed as a rare presentation for cerebral venous thrombosis. Following the extensive investigation to rule out other possible diagnoses, magnetic resonance venogram revealed the final etiology of sixth nerve palsy that was ipsilateral left transverse sinus thrombosis; therefore, anticoagulant treatment with low molecular weight heparin was administered.

CONCLUSION:

Rapid and accurate diagnosis and treatment cause to achieve excellent outcomes for most patients. Considering different clinical features, risk factors and high index of suspicion are helpful to reach the diagnosis.

• Authors: Mehran Sotoodehnia, Arash Safaei, Fatemeh Rasooli, Maryam Bahreini
• Journal: The American journal of emergency medicine (Am J Emerg Med) Vol. 35 Issue 6 Pg. 934.e1-934.e2 (Jun 2017) ISSN: 1532-8171 [Electronic] United States
• PMID: 28043726 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright © 2016 Elsevier Inc. All rights reserved.

Chemical References

• Anticoagulants

Topics

• Abducens Nerve Diseases (diagnosis, etiology)
• Anticoagulants (therapeutic use)
• Headache (etiology)
• Humans
• Magnetic Resonance Imaging
• Male
• Sinus Thrombosis, Intracranial (diagnostic imaging, drug therapy)
• Young Adult