Ferass Abu Hanna
Context: Acute onset strabismus is worrisome for parents and physicians. This condition is sometimes attributed to sixth cranial nerve palsy, which may be secondary to various etiologies. Debate still exists about the appropriate diagnostic approach.
Objective: The objective of this study was to describe the common etiologies of sixth nerve palsy in our pediatric population and to suggest a clear, implementable diagnostic algorithm.
Data Sources: An electronic medical review of files of patients admitted to the pediatric department at Emek Medical Center between January 2014 and April 2020.
Study Selection: We reviewed the medical records from the study period of patients with the following diagnoses according to the International Classification of Diseases 9 (ICD-9/10): Sixth Nerve Palsy, Acute Infective Polyneuritis, Guillain Barre Syndrome, Benign Intracranial Hypertension, Malignant Neoplasm of the Brain, Strabismus, and Multiple Sclerosis.