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Recurrent abducens nerve palsy and hypophosphatasia syndrome.
Recurrent abducens nerve palsy and hypophosphatasia syndrome.
- Source :
-
BMJ case reports [BMJ Case Rep] 2019 Apr 11; Vol. 12 (4). Date of Electronic Publication: 2019 Apr 11. - Publication Year :
- 2019
-
Abstract
- A 47-year-old woman presented with six episodes of horizontal binocular double vision over a 2-year period. CT imaging was significant for extensive dural calcification in the spine and calcification of the skull base, likely involving Dorello's canal. Biochemical testing revealed a persistently low alkaline phosphatase level. Recurrent nerve palsy may possibly be induced by mechanical compression of the sixth cranial nerve in Dorello's canal from calcification due to hypophosphatasia syndrome.<br />Competing Interests: Competing interests: None declared.<br /> (© BMJ Publishing Group Limited 2019. No commercial re-use. See rights and permissions. Published by BMJ.)
- Subjects :
- Abducens Nerve Diseases complications
Diagnosis, Differential
Diplopia etiology
Female
Humans
Hypophosphatasia blood
Hypophosphatasia complications
Middle Aged
Nerve Compression Syndromes complications
Ossification, Heterotopic complications
Tomography, X-Ray Computed
Abducens Nerve Diseases diagnostic imaging
Hypophosphatasia diagnostic imaging
Nerve Compression Syndromes diagnostic imaging
Ossification, Heterotopic diagnostic imaging
Skull Base innervation
Subjects
Details
- Language :
- English
- ISSN :
- 1757-790X
- Volume :
- 12
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- BMJ case reports
- Publication Type :
- Academic Journal
- Accession number :
- 30975772
- Full Text :
- https://doi.org/10.1136/bcr-2018-226895