Document Detail

Presenting features suggestive for later recurrence of idiopathic sixth nerve paresis in children.
MedLine Citation:
PMID:  17498986     Owner:  NLM     Status:  MEDLINE    
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.
Salman J Yousuf; Arif O Khan
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Publication Detail:
Type:  Journal Article; Review     Date:  2007-05-10
Journal Detail:
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:
Created Date:  2007-10-15     Completed Date:  2008-01-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9710011     Medline TA:  J AAPOS     Country:  United States    
Other Details:
Languages:  eng     Pagination:  452-5     Citation Subset:  IM    
Department of Neuroscience, New York College of Osteopathic Medicine at New York Institute of Technology, Old Westbury, NY, USA.
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MeSH Terms
Abducens Nerve Diseases / epidemiology,  etiology*
Age Distribution
Saudi Arabia / epidemiology
Sex Distribution

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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