Vertebrobasilar dolichoectasia is a condition where the vertebral arteries are dilated, elongated and distorted, causing significant deterioration of tunica intima. The most common causes sixth nerve palsy include infection, stroke, brain tumour injury. We reported case 56-year-old man with underlying diabetes mellitus hypertension who presented diplopia over his left gaze. There no other assoc...

The syndrome of spontaneous low CSF volume headache is caused by spontaneous or traumatic leaks of the CSF from the subarachnoid space. The CSF hypovolaemia causes sagging of the brain and traction of cranial nerves leading sometimes to overt cranial nerve palsies. We report three cases of this syndrome, in which abducens nerve palsy developed after postural headache in two patients, and neck a...

Recurrent sixth nerve palsy in children in the absence of structural or other neurological abnormality is a rare occurrence. We report the case of recurrent isolated sixth (abducens) nerve palsy after consecutive annual influenza vaccinations in an otherwise-healthy 2-year-old boy. Investigations including magnetic resonance imaging of the brain and orbits after each episode failed to reveal an...

Patients with anti-GQ1b antibody syndrome show various combinations of ophthalmoplegia, ataxia, areflexia, or altered sensorium as clinical features. We describe herein a unique case with unilateral abducens nerve palsy as an early feature of multiple mononeuropathy involving dysfunctions of the inferior dental plexus and the ulnar nerve, which was thought to be associated with anti-GQ1b antibo...

A healthy 28-year-old lady, para 1, presented to the emergency department with persistent frontal headache, nausea, and vomiting following an cesarean section four days ago. She experienced difficulties six failed attempts of spinal anesthesia intrapartum before conversion general anesthesia. 25-gauge Whitacre needle was utilized for administering under a sitting position. The anesthetist notic...

Solitary abducens palsy secondary to isolated sphenoid sinus disease (ISSD) is rare and early management is important. There is no report regarding the results of endoscopic sinus surgery (ESS) for prolonged abducens palsy due to ISSD. We present four cases of ISSD with solitary abducens palsy that received ESS from 1995 through 2000. The interval between onset of diplopia and ESS was longer th...