Causes of isolated recurrent ipsilateral sixth nerve palsies in older adults: a case series and review of the literature

Figures & data

Table 1 Causes of isolated recurrent sixth nerve palsy over a 10-year period in a single clinic

Age, years	Sex	Causes of isolated recurrent sixth nerve palsy
52	M	Intracavernous carotid artery aneurysm
57	F	Recurrent painful ophthalmoplegic neuropathies (ophthalmoplegic migraine)
60	M	Microvascular disease (hypertension and diabetes)
62	M	Parasellar meningioma
71	M	Petrous apex meningioma
72	F	Metastatic melanoma in prepontine cistern cavernous sinus and sphenoid sinus
79	M	Peripontine meningioma

Notes: In a retrospective review of the medical records database over a 10-year period in a neuro-ophthalmology clinic in Reno, Nevada, USA, of 782 patients, seven consecutive patients ≥50 years of age were identified with a diagnosis of isolated recurrent sixth nerve palsies.

Abbreviations: M, male; F, female.

Figure 1 A left peripontine meningioma causing recurrent isolated sixth nerve palsies.