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April 1982

Bilateral Sixth-Nerve Palsy: A Rare Complication of Water-Soluble Contrast Myelography

Author Affiliations

From the Neuro-ophthalmology Unit, Wills Eye Hospital (Drs Miller, Savino, and Schatz), and the Departments of Neurology and Ophthalmology, the University of Pennsylvania (Drs Savino and Schatz), Philadelphia. Dr Miller is now in private practice in Syracuse, NY.

Arch Ophthalmol. 1982;100(4):603-604. doi:10.1001/archopht.1982.01030030605012

• The appearance of bilateral sixth-nerve palsy is usually a harbinger of serious intracranial disease or a nonspecific sign of increased intracranial pressure from any cause. Although unilateral sixth-nerve palsy is a well-recognized complication of lumbar puncture, the appearance of bilateral sixth-nerve palsy following water-soluble myelography is not generally recognized. We describe our experience with three patients and emphasize the benign and self-limiting character of these bilateral sixth-nerve palsies.

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