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Visual acuity loss and sixth nerve palsy as the only manifestations of slit ventricle syndrome.
Arch Soc Esp Oftalmol (Engl Ed)
January 2022
Servicio de Oftalmología, Hospital Clínico Universitario, Valladolid, Spain.
The case is presented of a girl diagnosed with obstructive hydrocephalus due to pilomyxoid astrocytoma, which required a ventriculoperitoneal shunt (VPS) at the age of 5 years and 10 months. Two months later, magnetic resonance imaging of the brain did not show ventriculomegaly or other signs of increased intracranial pressure. At the age of 6 years and 2 months, a rapid onset of bilateral visual acuity loss developed and she was diagnosed with slit ventricle syndrome.
View Article and Find Full Text PDFCranial complications of otitis media with paralysis of the contralateral sixth cranial pair in pediatrics.
Biomedica
June 2021
Neurología Infantil, Departamento de Pediatría, Hospital Universitario del Valle, Universidad del Valle, Cali, Colombia.
Otitis media is a frequent infection during childhood. Complications may be present in up to 4 of 100 children including serious neurological complications, particularly in developing countries. We report the case of a 9-year-old girl with no disease history who presented with otitis media, otorrhea, intracranial hypertension syndrome, and paralysis of the VI cranial nerve contralateral to the lesion.
View Article and Find Full Text PDFVisual acuity loss and sixth nerve palsy as the only manifestations of slit ventricle syndrome.
Arch Soc Esp Oftalmol (Engl Ed)
January 2021
Servicio de Oftalmología, Hospital Clínico Universitario, Valladolid, España.
The case is presented of a girl diagnosed with obstructive hydrocephalus due to pilomyxoid astrocytoma, which required a ventriculoperitoneal shunt (VPS) at the age of 5 years and 10 months. Two months later, magnetic resonance imaging of the brain did not show ventriculomegaly or other signs of increased intracranial pressure. At the age of 6 years and 2 months, a rapid onset of bilateral visual acuity loss developed and she was diagnosed with slit ventricle syndrome.
View Article and Find Full Text PDFSixth craneal nerve palsy by pontine capillary telangiectasia. An unusual cause of diplopia.
Med Clin (Barc)
October 2021
Servicio de Radiodiagnóstico, Hospital Clínico Universitario de Valladolid, Valladolid, España.
Nishida procedure associated with botulinum toxin in a long-standing complete bilateral sixth cranial nerve palsy.
Arch Soc Esp Oftalmol (Engl Ed)
October 2019
Consorcio Hospital General Universitario de Valencia, Valencia, España.
In severe cases of abducens or sixth cranial nerve palsy, transpositions of the superior rectus and inferior rectus into the paralytic lateral rectus have been demonstrated to be useful. Numerous techniques have been described over time to carry out these transpositions, such as the Hummelsheim, O'Connor, Jensen, Foster, or Nishida technique. The first 4 techniques mentioned above have an increased risk of anterior segment ischaemia.
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