Abstract
Two hundred and thirteen patients with unilateral isolated sixth nerve palsies were assessed to determine what proportion of them underwent spontaneous recovery and over what period of time this recovery occurred. All were primary ophthalmic referrals from which trauma was excluded. In all, 78.4% of patients experienced spontaneous recovery of their palsy, 36.6% recovering by 8 weeks and 73.7% by 24 weeks. Only 16.4% failed to recover. Of this group, however, nearly 40% had serious underlying pathology accounting for their palsy.
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Rucker CW . Paralysis of third, fourth and sixth cranial nerves. Am J Ophthalmol 1958;46:787–93.
Rucker CW . The causes of paralysis of the third, fourth and sixth cranial nerves. Am J Ophthalmol 1966;61:1293–8.
Rushe JA, Younge BR . Paralysis of cranial nerves III, IV and VI: causes and prognosis in 1000 cases. Arch Ophthalmol 1981;99:76–9.
Metz HS, Dickey CF . Treatment of unilateral acute sixth nerve palsy with botulinum toxin. Am J Ophthalmol 1991;112:381–4.
Moster ML, Savino PJ, et al. Isolated sixth-nerve palsies in younger adults. Arch Ophthalmol 1984;102:1328–30.
Richards BW, Jones FR, Younge BR . Causes and prognosis in 4278 cases of paralysis of the oculomotor, trochlear and abducens cranial nerves. Am J Ophthalmol 1992;113:489–96.
Volpe NJ, Lessell S . Remitting sixth nerve palsy in skull base tumours. Arch Opthalmol 1993;111:1391–5.
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This paper is dedicated to the memory of Roger B. Trimble, who died during its preparation.
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King, A., Stacey, E., Stephenson, G. et al. Spontaneous recovery rates for unilateral sixth nerve palsies. Eye 9, 476–478 (1995). https://doi.org/10.1038/eye.1995.110
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DOI: https://doi.org/10.1038/eye.1995.110
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