Unilateral abducens nerve palsy following perinatal stroke of the middle cerebral artery

Jeremy J. Kudrna; Stephen C. Dryden; Cody R. Richardson; Asim F. Choudhri; Natalie C. Kerr

doi:10.3928/01913913-20200219-02

Unilateral abducens nerve palsy following perinatal stroke of the middle cerebral artery

Jeremy J. Kudrna, Stephen C. Dryden, Cody R. Richardson, Asim F. Choudhri, Natalie C. Kerr

School of Medicine

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Abstract

The authors describe a case of unilateral abducens nerve palsy following perinatal stroke of the middle cerebral artery. A 1-year-old boy presented with left eye esotropia but no other ocular abnormalities. The patient’s history, examination, and diagnostic tests were consistent with abducens nerve palsy. He underwent left medial rectus recession of 5.5 mm and left lateral rectus resection of 7 mm followed by patching. At 15 months after surgery, primary gaze by prism alternate cover testing revealed a 4 prism diopter (PD) esophoria (small angle in left gaze with essentially no action of lateral rectus) and 2 PD right hyperphoria. Ophthalmologic management of abducens nerve palsy entails addressing neurological sequelae in a timely manner, treating the esotropia and strabismic amblyopia to optimize visual system development.

Original language	English (US)
Pages (from-to)	E30-E33
Journal	Journal of pediatric ophthalmology and strabismus
Volume	57
DOIs	https://doi.org/10.3928/01913913-20200219-02
State	Published - 2020

ASJC Scopus subject areas

Pediatrics, Perinatology, and Child Health
Ophthalmology

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title = "Unilateral abducens nerve palsy following perinatal stroke of the middle cerebral artery",

abstract = "The authors describe a case of unilateral abducens nerve palsy following perinatal stroke of the middle cerebral artery. A 1-year-old boy presented with left eye esotropia but no other ocular abnormalities. The patient{\textquoteright}s history, examination, and diagnostic tests were consistent with abducens nerve palsy. He underwent left medial rectus recession of 5.5 mm and left lateral rectus resection of 7 mm followed by patching. At 15 months after surgery, primary gaze by prism alternate cover testing revealed a 4 prism diopter (PD) esophoria (small angle in left gaze with essentially no action of lateral rectus) and 2 PD right hyperphoria. Ophthalmologic management of abducens nerve palsy entails addressing neurological sequelae in a timely manner, treating the esotropia and strabismic amblyopia to optimize visual system development.",

author = "Kudrna, {Jeremy J.} and Dryden, {Stephen C.} and Richardson, {Cody R.} and Choudhri, {Asim F.} and Kerr, {Natalie C.}",

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doi = "10.3928/01913913-20200219-02",

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AU - Kudrna, Jeremy J.

AU - Dryden, Stephen C.

AU - Richardson, Cody R.

AU - Choudhri, Asim F.

AU - Kerr, Natalie C.

PY - 2020

Y1 - 2020

N2 - The authors describe a case of unilateral abducens nerve palsy following perinatal stroke of the middle cerebral artery. A 1-year-old boy presented with left eye esotropia but no other ocular abnormalities. The patient’s history, examination, and diagnostic tests were consistent with abducens nerve palsy. He underwent left medial rectus recession of 5.5 mm and left lateral rectus resection of 7 mm followed by patching. At 15 months after surgery, primary gaze by prism alternate cover testing revealed a 4 prism diopter (PD) esophoria (small angle in left gaze with essentially no action of lateral rectus) and 2 PD right hyperphoria. Ophthalmologic management of abducens nerve palsy entails addressing neurological sequelae in a timely manner, treating the esotropia and strabismic amblyopia to optimize visual system development.

AB - The authors describe a case of unilateral abducens nerve palsy following perinatal stroke of the middle cerebral artery. A 1-year-old boy presented with left eye esotropia but no other ocular abnormalities. The patient’s history, examination, and diagnostic tests were consistent with abducens nerve palsy. He underwent left medial rectus recession of 5.5 mm and left lateral rectus resection of 7 mm followed by patching. At 15 months after surgery, primary gaze by prism alternate cover testing revealed a 4 prism diopter (PD) esophoria (small angle in left gaze with essentially no action of lateral rectus) and 2 PD right hyperphoria. Ophthalmologic management of abducens nerve palsy entails addressing neurological sequelae in a timely manner, treating the esotropia and strabismic amblyopia to optimize visual system development.

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Unilateral abducens nerve palsy following perinatal stroke of the middle cerebral artery

Abstract

ASJC Scopus subject areas

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