Abducens Nerve Palsy (Sixth Nerve Palsy, Cranial VI Palsy)

Abducens Nerve Palsy (Sixth Nerve Palsy, Cranial VI Palsy)

Abducens is the sixth cranial nerve. It supplies the lateral rectus muscle of the eye. Palsy of the abducens nerve causes weakness of the lateral rectus muscle, leading to esotropia (deviation of the eye towards the nose).

Causes and risk factors

There are several causes for abducens nerve palsy. Physical trauma and stroke are common causes. It can also be caused due to infection, inflammation, or tumors of the brain. Abducens nerve palsy can also be congenital. Lifestyle disorders such as diabetes, hypertension, and atherosclerosis are also known causes.

Clinical presentation

The commonest symptom of abducens nerve palsy is diplopia (double vision). Amblyopia is commonly observed in children. Abducens nerve palsy produces a convergent squint (esotropia).

Other neurological symptoms may occur depending upon the location of the lesion. These include ptosis, loss of hearing and weakness of the facial muscles.

Investigations

Ophthalmic examination is carried out to diagnose this condition.

Treatment

Many patients of abducens nerve palsy start improving within a few months. Prism glasses are used to correct the visual defect. If the vision does not improve for several months, surgical correction becomes necessary.

Other modes of treatment

NA

Complications

NA

When to contact a doctor

Contact a doctor as soon as you experience abnormal eye symptoms such as diplopia.

Systems involved

The ophthalmic system, nervous system.

Organs involved

Eyes, abducens nerve

Image

Leave a Reply

Your email address will not be published. Required fields are marked *

GO FURTHER

The Best Of Health, wellness & Fitness Delivered To Your Inbox

Sign up for our newsletter to get the latest product updates, information & exclusive offers