What is the clinical presentation of abducens nerve palsy (sixth cranial nerve palsy)?

Updated: Nov 19, 2018
  • Author: Michael P Ehrenhaus, MD; Chief Editor: Edsel Ing, MD, MPH, FRCSC  more...
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Answer

Patients usually present with binocular horizontal diplopia (double vision producing a side-by-side image with both eyes open), worse in the distance, and esotropia in primary gaze. Patients also may present with a head-turn to maintain binocularity and binocular fusion and to minimize diplopia. Congenital sixth nerve palsy (Duane syndrome) is a well-recognized entity.


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