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Vishnu VY, Petluri G, Gupta V, et al. Parkinson syndrome: a precise localization for abducens palsy. J Neurol Sci. 2013;336(1):288-9doi: 10.1016/j.jns.2013.10.045.
Vishnu, V. Y., Petluri, G., Gupta, V., Lal, V., Khurana, D., & Goyal, M. K. (2014). Parkinson syndrome: a precise localization for abducens palsy. Journal of the neurological sciences, 336(1), 288-9. https://doi.org/10.1016/j.jns.2013.10.045
Vishnu, Venugopalan Y, et al. "Parkinson syndrome: a precise localization for abducens palsy." Journal of the neurological sciences vol. 336,1 (2014): 288-9. doi: https://doi.org/10.1016/j.jns.2013.10.045
Vishnu VY, Petluri G, Gupta V, Lal V, Khurana D, Goyal MK. Parkinson syndrome: a precise localization for abducens palsy. J Neurol Sci. 2014 Jan 15;336(1):288-9. doi: 10.1016/j.jns.2013.10.045. Epub 2013 Nov 08. PMID: 24246496.
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J Neurol Sci. 2014 Jan 15;336(1):288-9. doi: 10.1016/j.jns.2013.10.045. Epub 2013 Nov 08.

Parkinson syndrome: a precise localization for abducens palsy.

Journal of the neurological sciences

Venugopalan Y Vishnu, Gayathri Petluri, Vivek Gupta, Vivek Lal, Dheeraj Khurana, Manoj Kumar Goyal

Affiliations

  1. Department of Neurology, Post Graduate Institute of Medical Education and Research, Chandigarh 160012, India. Electronic address: [email protected].
  2. Department of Neurology, Post Graduate Institute of Medical Education and Research, Chandigarh 160012, India. Electronic address: [email protected].
  3. Department of Radiology, Post Graduate Institute of Medical Education and Research, Chandigarh 160012, India. Electronic address: [email protected].
  4. Department of Neurology, Post Graduate Institute of Medical Education and Research, Chandigarh 160012, India. Electronic address: [email protected].
  5. Department of Neurology, Post Graduate Institute of Medical Education and Research, Chandigarh 160012, India. Electronic address: [email protected].
  6. Department of Neurology, Post Graduate Institute of Medical Education and Research, Chandigarh 160012, India. Electronic address: [email protected].

PMID: 24246496 DOI: 10.1016/j.jns.2013.10.045

Abstract

BACKGROUND: Unilateral isolated abducens palsy can occur due to any lesion from pons to orbit. The precise localization is made through the associated neurological signs. Parkinson syndrome is a symptom complex of unilateral abducens palsy with ipsilateral postganglionic Horner syndrome localizing the lesion to posterior cavernous sinus.

RESULTS: We describe here a 55 year old lady who presented with headache and diplopia for 3 months. On examination she had right lateral rectus palsy and postganglionic Horner syndrome. No other neurological deficit was present. MRI brain and MRA of intracranial vessels showed aneurysm of the right cavernous internal carotid artery which was confirmed on cerebral angiography. Endovascular coiling was advised but refused by the patient and she was treated symptomatically

CONCLUSIONS: Parkinson syndrome gives precise localization to unilateral abducens palsy and hence is a valuable clinical pearl.

Copyright © 2013 Elsevier B.V. All rights reserved.

Keywords: Abducens palsy; Carotid aneurysm; Cavernous sinus; Horner syndrome; Parkinson syndrome; Ptosis

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