Isolated fascicular abducens nerve palsy and lyme disease

J. A. Mastrianni, S. L. Galetta*, E. C. Raps, G. T. Liu, N. J. Volpe

*Corresponding author for this work

Research output: Contribution to journalArticle

17 Scopus citations


A patient with Lyme disease developed an isolated sixth nerve palsy at the end of a 1 month course of oral antibiotics. Magnetic resonance imaging disclosed high-signal abnormality at the left pontomedullary junction, implicating involvement of the distal sixth nerve fascicle. Although facial numbness ensued during a subsequent course of intravenous antibiotics, corticosteroid therapy was associated with prompt improvement of neurologic signs, suggesting an immunologic mechanism for the central nervous system dysfunction.

Original languageEnglish (US)
Pages (from-to)2-5
Number of pages4
JournalJournal of Neuro-Ophthalmology
Issue number1
StatePublished - Jan 1 1994


  • Abducens nerve palsy
  • Lyme disease
  • Magnetic resonance imaging

ASJC Scopus subject areas

  • Ophthalmology
  • Clinical Neurology

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  • Cite this

    Mastrianni, J. A., Galetta, S. L., Raps, E. C., Liu, G. T., & Volpe, N. J. (1994). Isolated fascicular abducens nerve palsy and lyme disease. Journal of Neuro-Ophthalmology, 14(1), 2-5.