A Perplexing case of isolated abducens nerve palsy in a primigravida woman: A case report
Isolated abducens nerve palsy is a rare presentation in women during pregnancy. When an abducens nerve palsy is elicited in a pregnant woman, work-up should start with labs and neuroimaging to rule out mechanical and organic causes such as tumors, preeclampsia, and multiple sclerosis. This case repo...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-09-01
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| Series: | Case Reports in Women's Health |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214911223000516 |
| _version_ | 1827781482226122752 |
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| author | Johnna M. Caputo Marianna Catege Ishani Dev Benjamin Souferi Adele El Kareh |
| author_facet | Johnna M. Caputo Marianna Catege Ishani Dev Benjamin Souferi Adele El Kareh |
| author_sort | Johnna M. Caputo |
| collection | DOAJ |
| description | Isolated abducens nerve palsy is a rare presentation in women during pregnancy. When an abducens nerve palsy is elicited in a pregnant woman, work-up should start with labs and neuroimaging to rule out mechanical and organic causes such as tumors, preeclampsia, and multiple sclerosis. This case report highlights a 35-year-old woman, gravida 1, para 0, who was sent to the local medical center by her ophthalmologist at 37 weeks of gestation due to a left-sided headache and blurry vision. Upon admission, work-up was negative for preeclampsia. Tick-borne disease panel and lumbar puncture were unrevealing. No other mechanical or lab abnormalities were elicited. Magnetic resonance venography revealed a diminutive left transverse sinus, left sigmoid sinus, and left internal jugular vein in comparison with the right, indicating a possible congenital variant. Labor was induced to see if this would alleviate the patient's abducens nerve palsy. After induction of labor and initiation of dexamethasone, the patient's sixth cranial nerve palsy began to improve. |
| first_indexed | 2024-03-11T15:19:19Z |
| format | Article |
| id | doaj.art-94e1bb10bad34475a169540b74975279 |
| institution | Directory Open Access Journal |
| issn | 2214-9112 |
| language | English |
| last_indexed | 2024-03-11T15:19:19Z |
| publishDate | 2023-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Case Reports in Women's Health |
| spelling | doaj.art-94e1bb10bad34475a169540b749752792023-10-29T04:19:48ZengElsevierCase Reports in Women's Health2214-91122023-09-0139e00527A Perplexing case of isolated abducens nerve palsy in a primigravida woman: A case reportJohnna M. Caputo0Marianna Catege1Ishani Dev2Benjamin Souferi3Adele El Kareh4Department of Basic Biomedical Sciences, Touro College of Osteopathic Medicine, 60 Prospect Ave, Middletown, NY 10940, USADepartment of Basic Biomedical Sciences, Touro College of Osteopathic Medicine, 60 Prospect Ave, Middletown, NY 10940, USADepartment of Basic Biomedical Sciences, Touro College of Osteopathic Medicine, 60 Prospect Ave, Middletown, NY 10940, USADepartment of Emergency Medicine, Vassar Brothers Medical Center, 45 Reade Pl, Poughkeepsie, NY 12601, USADepartment of Obstetrics, OPTUM HEALTH, 2515 South Rd, Poughkeepsie, NY 12601, USA; Corresponding author at: 2507 South Road- Route 9, Poughkeepsie, NY 12601, USA.Isolated abducens nerve palsy is a rare presentation in women during pregnancy. When an abducens nerve palsy is elicited in a pregnant woman, work-up should start with labs and neuroimaging to rule out mechanical and organic causes such as tumors, preeclampsia, and multiple sclerosis. This case report highlights a 35-year-old woman, gravida 1, para 0, who was sent to the local medical center by her ophthalmologist at 37 weeks of gestation due to a left-sided headache and blurry vision. Upon admission, work-up was negative for preeclampsia. Tick-borne disease panel and lumbar puncture were unrevealing. No other mechanical or lab abnormalities were elicited. Magnetic resonance venography revealed a diminutive left transverse sinus, left sigmoid sinus, and left internal jugular vein in comparison with the right, indicating a possible congenital variant. Labor was induced to see if this would alleviate the patient's abducens nerve palsy. After induction of labor and initiation of dexamethasone, the patient's sixth cranial nerve palsy began to improve.http://www.sciencedirect.com/science/article/pii/S2214911223000516Sixth cranial nerve palsyAbducens nerve palsyPregnancy |
| spellingShingle | Johnna M. Caputo Marianna Catege Ishani Dev Benjamin Souferi Adele El Kareh A Perplexing case of isolated abducens nerve palsy in a primigravida woman: A case report Case Reports in Women's Health Sixth cranial nerve palsy Abducens nerve palsy Pregnancy |
| title | A Perplexing case of isolated abducens nerve palsy in a primigravida woman: A case report |
| title_full | A Perplexing case of isolated abducens nerve palsy in a primigravida woman: A case report |
| title_fullStr | A Perplexing case of isolated abducens nerve palsy in a primigravida woman: A case report |
| title_full_unstemmed | A Perplexing case of isolated abducens nerve palsy in a primigravida woman: A case report |
| title_short | A Perplexing case of isolated abducens nerve palsy in a primigravida woman: A case report |
| title_sort | perplexing case of isolated abducens nerve palsy in a primigravida woman a case report |
| topic | Sixth cranial nerve palsy Abducens nerve palsy Pregnancy |
| url | http://www.sciencedirect.com/science/article/pii/S2214911223000516 |
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