ABDUCENT NERVE PALSY- A RARE CASE REPORT

A 34-year old male who developed binocular horizontal double vision in right gaze was found to have an isolated sixth nerve palsy in right eye secondary to sub-acute bleed involving Pons due to solitary small Cavernous malformation. The natural history of Cavernous malformation and the mechanism by which hemorrhage of these vascular lesions may produce minimal neurological signs, including isolated ocular motor cranial nerve palsies, is discussed. Magnetic resonance imaging (MRI) that includes susceptibility-weighted sequences leads to their accurate diagnosis.