CompletedNot Applicable

A Decade-Long Dance With Diplopia: Unraveling the Enigma of Recurrent 6th Nerve Palsy

Nepal1 participantsStarted 2024-01-15

Plain-language summary

Abstract: Introduction and Importance: Recurrent diplopia poses a diagnostic challenge, necessitating a thorough evaluation to elucidate its underlying etiology and guide its management. We present the case of a 39-year-old farmer with recurrent 6th nerve palsy for over a decade, highlighting the complexity and persistence of this condition. Case Presentation: A 39-year-old farmer presented with recurrent diplopia attributed to 6th nerve palsy, with eight episodes over 14 years. Despite systemic steroid treatment, the symptoms recurred every 12-18 months. Clinical examination revealed right eye abduction impairment;-, no other abnormalities were detected. Magnetic resonance imaging (MRI) indicated rhinosinusitis, and the results of the autoimmune antibody test were negative. Clinical Discussion: This case challenges conventional diagnostic approaches, underscoring the need for a comprehensive evaluation and tailored management strategies. Despite extensive investigations, the etiology remains elusive, emphasizing the complexity of recurrent diplopia. Conclusion: Continued monitoring and further investigation are warranted to unravel the enigma of recurrent diplopia in this unique case, highlighting the importance of individualized approaches to guide optimal management.

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Inclusion Criteria: * This is only a case report of 39-years-old male. Exclusion Criteria: \-

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What they're measuring

A Decade-Long Dance with Diplopia: Unraveling the Enigma of Recurrent 6th Nerve Palsy

Timeframe: 6 months

Trial details

NCT IDNCT06512636

SponsorCollege of Medical Sciences, Bharatpur

Sponsor typeOTHER

Study typeOBSERVATIONAL

Primary completion2024-03-15

View on ClinicalTrials.gov More Neurologic Manifestations trials

Plain-language summary