Isolated Abducens Nerve Palsy: A Case Report of Cerebral Pseudocyst of Dorello’s Canal

Authors

  • Vivien Puspitasari Neurology Department Siloam Hospitals Lippo Village, Karawaci, Tangerang, Indonesia
  • Josephine Japutri Neurology Department Faculty of Medicine Pelita Harapan University, Tangerang, Indonesia
  • Tracy Solansa Neurology Department Faculty of Medicine Pelita Harapan University, Tangerang, Indonesia
  • Anderson Cenweikiawan Neurology Department Faculty of Medicine Pelita Harapan University, Tangerang, Indonesia

DOI:

https://doi.org/10.19166/med.v15i1.10768

Keywords:

Abducens nerve palsy, Dorello’s canal, Pseudocyst

Abstract

Background:

Abducens nerve is the second longest intracranial path out of all of the cranial nerves. Abducens nerve pasly had a prevalence 11.3/100.000 and mostly seen in adults. Isolated abducens nerve palsy due to neoplastic lesion are rare and mostly related to skull base tumor.

 

Case Description:

We present a case of 57 years old woman with complaints of red right eye and worsening headache associates with diplopia on the right lateral gaze for three days prior admission. She was later diagnosed with isolated abducens nerve palsy associated to neoplasm cause in Dorello’s canal. Patient was then discharged with symptomatic therapy and educated for head posturing and avoid triggers.

 

Conclusions:

Abducens nerve palsy is the most common isolated ocular nerve palsy. The incidence of mass formation such as neoplastic lesion or cyst are rare.

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Published

2025-10-01

How to Cite

Puspitasari, V., Japutri, J., Solansa, T., & Cenweikiawan, A. (2025). Isolated Abducens Nerve Palsy: A Case Report of Cerebral Pseudocyst of Dorello’s Canal. Medicinus, 15(1), 53–58. https://doi.org/10.19166/med.v15i1.10768

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Section

Case Report