Open AccessIsolated abducens nerve palsy with hyperhomocysteinemia: Association and outcomes
Author(s) -
Virender Sachdeva,
Vaibhev Mittal,
Avinash Pathengay,
Ramesh Kekunnaya,
Amit Gupta,
B Venkateshwar Rao
Publication year - 2013
Publication title -
indian journal of ophthalmology/indian journal of ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.542
H-Index - 51
eISSN - 1998-3689
pISSN - 0301-4738
DOI - 10.4103/0301-4738.121089
Subject(s) - medicine , abducens nerve , hyperhomocysteinemia , palsy , etiology , dyslipidemia , diabetes mellitus , diplopia , surgery , risk factor , pediatrics , disease , pathology , endocrinology , alternative medicine
Ischemic abducens nerve palsy usually presents as isolated cranial nerve palsy in the middle aged and elderly patients with known risk factors such as diabetes mellitus, hypertension, dyslipidemia, carotid artery disease, etc., In this report, we describe four patients with isolated abducens nerve palsy who presented with an acute onset diplopia whose detailed history and examination were suggestive of an ischemic etiology. Detailed systemic and laboratory evaluation revealed hyperhomocysteinemia as the only potential risk factor. To the best of our knowledge this is the first report of association of hyperhomocysteinemia and isolated abducens nerve palsy.