Atypical Cause of Abducens Paralysis: A Case Report

Hikmet Sacmaci, Meral Mirza, Mehmet Fatih Yetkin, Ali Ozdemir Ersoy, Emine Gul Baldane


Isolated cranial nerve paralysis in primary Sjogren’s syndrome (SS) has rarely been described. We present a 58-year-old woman who suffered from abducens paralysis and right orbital intractable pain. Cranial MRI findings in right cavernous sinus were associated with granulomatous inflammation. Antinuclear antibody (titre 1/1,000), anti-SS-A, anti-SS-B antibodies were present. SS diagnosis was considered with clinical, laboratory and imaging findings. Immunosuppressive therapy and prednisolone were started. Two months after her initial presentation the patient experienced an almost complete recovery of paralysis of abducens.

J Neurol Res. 2013;3(6):181-183


Abducens paralysis; Sjogren’s syndrome; Immunosuppressive therapy; MRI

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