Fascicular Sixth Nerve Palsy as a Presenting Sign of Metastatic Ovarian Carcinoma

Niloufar Rohani; Peter Mortensen; Andrew G. Lee

doi:10.1097/WNO.0000000000001188

Fascicular Sixth Nerve Palsy as a Presenting Sign of Metastatic Ovarian Carcinoma

Niloufar Rohani, Peter Mortensen, Andrew G. Lee

Research output: Contribution to journal › Article › peer-review

Abstract

ABSTRACT: The most common etiology of an isolated abducens nerve palsy in an older adult with vasculopathic risk factors is presumed microvascular ischemia. Because the diagnosis of microvascular ischemia in this setting would not alter patient management, there is debate as to whether further workup is warranted under these circumstances. In this report, we describe a fascicular sixth nerve palsy as the initial presenting sign of metastatic ovarian carcinoma, and we highlight the importance of considering additional workup in select cases of isolated abducens nerve palsies.

Original language	English (US)
Pages (from-to)	e372-e374
Journal	Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society
Volume	41
Issue number	3
DOIs	https://doi.org/10.1097/WNO.0000000000001188
State	Published - Sep 1 2021

Keywords

Abducens Nerve Diseases/complications
Aged
Biopsy
Diplopia/diagnosis
Female
Humans
Magnetic Resonance Imaging
Neoplasm Metastasis
Ovarian Neoplasms/complications
Vision, Binocular/physiology

ASJC Scopus subject areas

Clinical Neurology
Ophthalmology

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10.1097/WNO.0000000000001188

Cite this

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abstract = "ABSTRACT: The most common etiology of an isolated abducens nerve palsy in an older adult with vasculopathic risk factors is presumed microvascular ischemia. Because the diagnosis of microvascular ischemia in this setting would not alter patient management, there is debate as to whether further workup is warranted under these circumstances. In this report, we describe a fascicular sixth nerve palsy as the initial presenting sign of metastatic ovarian carcinoma, and we highlight the importance of considering additional workup in select cases of isolated abducens nerve palsies.",

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AB - ABSTRACT: The most common etiology of an isolated abducens nerve palsy in an older adult with vasculopathic risk factors is presumed microvascular ischemia. Because the diagnosis of microvascular ischemia in this setting would not alter patient management, there is debate as to whether further workup is warranted under these circumstances. In this report, we describe a fascicular sixth nerve palsy as the initial presenting sign of metastatic ovarian carcinoma, and we highlight the importance of considering additional workup in select cases of isolated abducens nerve palsies.

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KW - Diplopia/diagnosis

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Fascicular Sixth Nerve Palsy as a Presenting Sign of Metastatic Ovarian Carcinoma

Abstract

Keywords

ASJC Scopus subject areas

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