Case Report

A Rare Cause of Isolated Sixth Nerve Palsy in Childhood: Multiple Sclerosis

10.4274/tjo.43.05025

  • Çağlar Öktem
  • Alev Güven
  • Cüneyt Özmen
  • Tülin Revide Şaylı

Received Date: 26.06.2012 Accepted Date: 31.08.2012 Turk J Ophthalmol 2013;43(3):205-207

A 11-year-old female patient was admitted to our clinic complaining of diplopia and strabismus in the right eye. Ophthalmological examination revealed limitation of abduction in the right eye. The best-corrected visual acuity was 1.0 in both eyes. There were no abnormal findings on fundus and anterior chamber examination. After radiological and cerebrospinal fluid investigations, she has received a diagnosis of multiple sclerosis (MS). High-dose (1000 mg daily) intravenous methylprednisolone was given for 3 days, and then oral methylprednisolone therapy 2 mg/kg per day was started. After two months from admission to hospital, the ophthalmological examination revealed complete recovery in diplopia and gaze palsy. MS should be kept in mind as a rare etiology in children with isolated sixth nerve palsy and radiological investigations should be performed as soon as possible.

Keywords: Childhood, sixth nerve palsy, acute diplopia, multiple sclerosis

Full Text (Turkish)