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| Korean Journal of Neuromuscular Disorders ; 6 : 54 - 56, December 2014 |
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| Isolated Bilateral Abducens Nerve Palsies with Anti‐GQ1b Antibodies |
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| Hak-Ju Oh, MDa, Suk Yun Kang, MD, PhDb, Sun-Young Im, MDc, Soo-Jin Cho, MD, PhDb, Joo Yong Kim, MD, PhDb, Ki-Han Kwon, MDb |
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| aDepartment of Neurology, Chuncheon Sacred Hospital, Hallym UniversityHallym University College of Medicine, Chuncheon; bDepartment of Neurology, Dongtan Sacred Hospital, Hallym University College of Medicine, Hwaseong; cDepartment of Neurology, Pyeongchon Sacred Hospital, Hallym University College of Medicine, Anyang, Korea |
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Bilateral abducens nerve palsies is mainly caused by cancer, vascular diseases, demyelinating
disease like Guillian-Barre’s syndrome (GBS), myasthenia gravis and infection. The diseases which
increasing intracranial pressure may also result in bilateral abducens nerve palsies. Isolated bilateral
abducens nerve palsies is very rare. Here, we report a 24-year-old man who presented isolated
bilateral abducens nerve palsies with anti GQ1b antibodies. He did not have any other neurologic
deficit including ataxia and loss of deep tendon reflexes. This is the meaningful report of a patient with
isolated bilateral abducens nerve palsies associated with anti-GQ1b antibodies. This case suggests
that anti-GQ1b antibody syndrome should be considered when we meet a patient with unexplained
isolated bilateral abducens nerve palsies.
KEYWORDS :
Isolated bilateral
abducens nerve palsies,
Anti-GQ1b antibody
syndrome,
Acute ophthalmoplegia |
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