Sixth Nerve Palsy: Causes, Symptoms, and Treatment

Sixth nerve palsy (abducens palsy) occurs when the sixth cranial nerve is damaged, causing weakness/paralysis of the lateral rectus muscle (moves eye outward). The affected eye turns inward (toward the nose), causing difficulty looking outward. Other symptoms: double vision (diplopia), eye pain, drooping eyelid (ptosis).

Causes

  • Trauma (head injury, blow to eye)
  • Brain tumors
  • Aneurysms
  • Diabetes
  • Multiple sclerosis
  • Guillain-Barré syndrome
  • Myasthenia gravis

Treatment

Depends on underlying cause. May include surgery, eyeglasses, or prisms for double vision.

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