A Decade-Long Dance With Diplopia: Unraveling the Enigma of Recurrent 6th Nerve Palsy

NCT06512636 | Completed

• 1 other identifier: 0000
• Study Type: observational
• Target: 1
• Locations: 1 country
• Sites: 1

Brief Summary

Abstract: Introduction and Importance: Recurrent diplopia poses a diagnostic challenge, necessitating a thorough evaluation to elucidate its underlying etiology and guide its management. We present the case of a 39-year-old farmer with recurrent 6th nerve palsy for over a decade, highlighting the complexity and persistence of this condition. Case Presentation: A 39-year-old farmer presented with recurrent diplopia attributed to 6th nerve palsy, with eight episodes over 14 years. Despite systemic steroid treatment, the symptoms recurred every 12-18 months. Clinical examination revealed right eye abduction impairment;-, no other abnormalities were detected. Magnetic resonance imaging (MRI) indicated rhinosinusitis, and the results of the autoimmune antibody test were negative. Clinical Discussion: This case challenges conventional diagnostic approaches, underscoring the need for a comprehensive evaluation and tailored management strategies. Despite extensive investigations, the etiology remains elusive, emphasizing the complexity of recurrent diplopia. Conclusion: Continued monitoring and further investigation are warranted to unravel the enigma of recurrent diplopia in this unique case, highlighting the importance of individualized approaches to guide optimal management.

Conditions

Neurologic Manifestations

Outcome Measures

Primary Outcomes (1)

• A Decade-Long Dance with Diplopia: Unraveling the Enigma of Recurrent 6th Nerve Palsy

  As this is only a case report. No primary outcome was present.

  6 months

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

This is a case report of a 39 year old male.

You may qualify if:

• This is only a case report of 39-years-old male.

Sponsors & Collaborators

• College of Medical Sciences, Bharatpur: lead

Study Sites (1)

Kamal Raj Baral

Bharatpur, Bagmati, 123, Nepal

Location

MeSH Terms

Conditions

Neurologic Manifestations

Condition Hierarchy (Ancestors)

Nervous System Diseases; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Prabesh Panta

  College of Medical Sciences, Bharatpur

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Doctor

Study Record Dates

• First Submitted: July 16, 2024
• First Posted: July 22, 2024
• Study Start: January 15, 2024
• Primary Completion: March 15, 2024
• Study Completion: June 15, 2024
• Last Updated: July 22, 2024

Record last verified: 2024-07

Locations

NE (1)