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Recurrent abducens nerve palsy and hypophosphatasia syndrome.

Recurrent abducens nerve palsy and hypophosphatasia syndrome.

Authors :
Khade N
Carrivick S
Orr C
Prentice D
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.)

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