VIth Nerve Lesion

[ Home ] [ Up ]

Pages Below:

VIth Nerve Lesion

• Lateral rectus gone - eye cannot go outwards
• often caused by diabetes mellitus

Examination

• General Appearance
  • No ptosis
• Acuity
  • normal
• Fields
  • normal
• Pupils
  • convergent squint at rest
  • no / ↓ abduction beyond the midline
  • diplopia

Causes

• Diabetes Mellitus
  • mononeuritis
• Sarcoid
• Systemic Lupus Erythematosus
• Rheumatoid arthritis
• Polyarteritis
• Raised intracranial pressure
• Brainstem Vascular Disease
• Multiple Sclerosis
  • UMN
  • possible associated with lesion in VII
• Myasthenia Gravis
  • esp if atypical

[ Home ] [ Up ]