| Presenting features suggestive for later recurrence of idiopathic sixth nerve paresis in children. | |
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MedLine Citation:
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PMID: 17498986 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Although idiopathic sixth (abducens) nerve paresis of childhood typically resolves within a few months, the paresis recurs in a minority of cases. The purpose of this study is to describe clinical features at presentation that are associated with later recurrence. METHODS: Retrospective literature review and novel case report. RESULTS: Thirty-five articles were reviewed, revealing 54 nonrecurrent and 41 recurrent cases. One previously unreported recurrent case is also included in our review. Patients with recurrence were typically girls (p < 0.05) and were typically affected in the left eye (p < 0.05). All children who initially presented under 14 months of age and/or whose initial presentation was associated with vaccination developed recurrence. Seventy-three percent of second episodes occurred within one year of initial presentation. No children who initially presented after 12 years of age developed recurrence. CONCLUSIONS: When an otherwise normal child is diagnosed with idiopathic sixth nerve paresis, clinical features suggestive of later recurrence are female gender, left eye involvement, younger age, and recent vaccination. Recurrence is less likely if it has not occurred within one year of the initial event. |
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Authors:
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Salman J Yousuf; Arif O Khan |
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Publication Detail:
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Type: Journal Article; Review Date: 2007-05-10 |
Journal Detail:
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Title: Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus / American Association for Pediatric Ophthalmology and Strabismus Volume: 11 ISSN: 1091-8531 ISO Abbreviation: J AAPOS Publication Date: 2007 Oct |
Date Detail:
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Created Date: 2007-10-15 Completed Date: 2008-01-08 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9710011 Medline TA: J AAPOS Country: United States |
Other Details:
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Languages: eng Pagination: 452-5 Citation Subset: IM |
Affiliation:
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Department of Neuroscience, New York College of Osteopathic Medicine at New York Institute of Technology, Old Westbury, NY, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Abducens Nerve Diseases
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epidemiology,
etiology* Age Distribution Child Humans Incidence Recurrence Saudi Arabia / epidemiology Sex Distribution |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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