Isolated sixth nerve palsy from pontine infarct

Atilla H., Isikay C., Kansu T.

ACTA NEUROLOGICA BELGICA, vol.100, no.4, pp.246-247, 2000 (SCI-Expanded) identifier

  • Publication Type: Article / Article
  • Volume: 100 Issue: 4
  • Publication Date: 2000
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.246-247
  • Hacettepe University Affiliated: No


Isolated sixth nerve palsy associated with pontine infarct is very rare due to close anatomic organization of the structures. A 62-year-old woman, who complained of diplopia, had a diagnosis of sixth nerve palsy. Ophthalmological examination revealed 30 PD left esotropia in primary position with limited abduction of the left eye. Neurologic examination was normal. MR showed a lacunar infarct in the pens consistent with a fascicular lesion. Cerebral angiography was normal. Pontine infarcts causing fascicular lesions should be kept in mind in isolated sixth nerve palsies.