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      Congenital sixth nerve palsy with associated anomalies

      case-report

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          Abstract

          Congenital abduction deficit is most likely due to Duane's retraction syndrome as congenital abducens nerve palsy is very rare. We report two cases of infantile abduction deficit due to sixth nerve palsy associated with other anomalies to highlight the importance of including neuroimaging in the evaluation of an infant presenting with a limitation of abduction.

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          Most cited references10

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          MRI findings in Duane's ocular retraction syndrome.

          S Xia, R Li, Y. Li (2014)
          To investigate the innervation pattern of extra-ocular muscles in patients with clinically diagnosed Duane's ocular retraction syndrome (DRS) using magnetic resonance imaging (MRI).
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            Comparison of orbital magnetic resonance imaging in duane syndrome and abducens palsy.

            To help resolve the clinical ambiguity between Duane syndrome with severe abduction deficit and abducens palsy, we performed orbital magnetic resonance imaging (MRI) to qualify abnormalities of the lateral rectus (LR) muscle in these entities.
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              Usefulness of MR imaging in children without characteristic clinical findings of Duane's retraction syndrome.

              Duane's retraction syndrome (DRS) consists of a congenital abduction deficit of the eyeball accompanied by retraction of the globe on attempted adduction and by upshoots or downshoots of the affected eye on adduction. These characteristic diagnostic signs of DRS, however, might not be manifested in early childhood. We evaluated the usefulness of MR imaging as a diagnostic tool in such cases.
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                Author and article information

                Journal
                Indian J Ophthalmol
                Indian J Ophthalmol
                IJO
                Indian Journal of Ophthalmology
                Medknow Publications & Media Pvt Ltd (India )
                0301-4738
                1998-3689
                October 2017
                : 65
                : 10
                : 1056-1057
                Affiliations
                [1]Department of Ophthalmology, Jawaharlal Postgraduate Medical Education and Research, Puducherry, India
                Author notes
                Correspondence to: Dr. Nirupama Kasturi, Department of Ophthalmology, Jawaharlal Postgraduate Medical Education and Research, Puducherry - 605 006, India. E-mail: kasturiniru@ 123456gmail.com
                Article
                IJO-65-1056
                10.4103/ijo.IJO_335_17
                5678317
                29044089
                5fdbb83e-dd8d-4bd8-8e45-7800a1fbc230
                Copyright: © 2017 Indian Journal of Ophthalmology

                This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.

                History
                : 05 May 2017
                : 08 August 2017
                Categories
                Brief Communications

                Ophthalmology & Optometry
                congenital abducens palsy,duane's syndrome,anomalies
                Ophthalmology & Optometry
                congenital abducens palsy, duane's syndrome, anomalies

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