Journal of Neurology and Neuroscience

  • ISSN: 2171-6625
  • Journal h-index: 18
  • Journal CiteScore: 4.35
  • Journal Impact Factor: 3.75
  • Average acceptance to publication time (5-7 days)
  • Average article processing time (30-45 days) Less than 5 volumes 30 days
    8 - 9 volumes 40 days
    10 and more volumes 45 days
Awards Nomination 20+ Million Readerbase
Indexed In
  • Open J Gate
  • Genamics JournalSeek
  • The Global Impact Factor (GIF)
  • China National Knowledge Infrastructure (CNKI)
  • Directory of Research Journal Indexing (DRJI)
  • OCLC- WorldCat
  • Proquest Summons
  • Scientific Journal Impact Factor (SJIF)
  • Euro Pub
  • Google Scholar
  • Secret Search Engine Labs
Share This Page


Clinical Profile and Management of Sixth Nerve Palsy in Paediatric Patients (0-15 Years) in Southern India- a Hospital-Based Study

Iva R Kalita1* ,Veena K2 , Freidrick Mouttappa2 , Priya Sundaralakshmi3

Purpose: This study was done to evaluate the clinical profile in Paediatric patients (0-16 years) presenting with acute onset esotropia due to Sixth Nerve palsy. Methods: A total of 12 patients presenting to our OPD with acute onset esotropia due to sixth nerve palsies were included in this retrospective study. All patients were observed for 6 months and managed with prism and/or patching while waiting for spontaneous resolution and later managed surgically. Neuroimaging was done in all cases. Results: The mean deviation of esotropia at presentation was 30.17 �?� 5.7 Prism Dioptre( range 12-50 PD, 95% CI, SD 10.11). Mean age of the patients during presentation was 8.6 �?� 2.4 years(range: 1-15 years, SD 4.27). Among the common causes of sixth nerve palsy in our study population were Trauma and Idiopathic Intracranial Hypertension followed by Tumour and miscellaneous causes. Only 3 patients underwent surgical correction of residual deviation after a waiting period of 6 months for self-resolution. spontaneous resolution was observed in 41.6% patients (table 1) and surgical correction (unilateral resection-recession) was done in 25% of the patients with good surgical outcome. Conclusion: At one-year follow up ,the motor outcome was satisfactory except for one patient who had diffuse pontine glioma and had worsening neurological symptoms on follow-up.