Spontaneous Recovery Rate in Traumatic Sixth-nerve Palsy

To estimate the spontaneous recovery rate of isolated traumatic sixth-nerve palsy. A retrospective chart review over a 24-year period at a single institution, excluding patients who were first seen more than 6 weeks after injury, to reduce bias toward nonrecovery. The Kaplan-Meier survival estimate...

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Bibliographic Details
Published in:American journal of ophthalmology 1996-12, Vol.122 (6), p.898-899
Main Authors: Mutyala, Srinivas, Holmes, Jonathan M., Hodge, David O., Younge, Brian R.
Format: Article
Language:English
Subjects:
Abducens Nerve Injury
Adolescent
Adult
Aged
Biological and medical sciences
Brain Injuries - physiopathology
Child
Child, Preschool
Cranial Nerve Diseases - physiopathology
Cranial nerves. Spinal roots. Peripheral nerves. Autonomic nervous system. Gustation. Olfaction
Humans
Infant
Infant, Newborn
Medical sciences
Middle Aged
Nervous system (semeiology, syndromes)
Neurology
Paralysis - physiopathology
Remission, Spontaneous
Retrospective Studies
Survival Rate
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Summary:To estimate the spontaneous recovery rate of isolated traumatic sixth-nerve palsy. A retrospective chart review over a 24-year period at a single institution, excluding patients who were first seen more than 6 weeks after injury, to reduce bias toward nonrecovery. The Kaplan-Meier survival estimate of spontaneous recovery at 6 months was 27% (95% confidence interval [CI], 5% to 44%) in unilateral traumatic sixth-nerve palsy and 12% (95% CI, 0% to 33%) in bilateral traumatic sixth-nerve palsy. Spontaneous recovery from isolated traumatic sixth-nerve palsy may be lower than previously reported. A prospective study is needed to provide a more accurate estimate of recovery rate.
ISSN:0002-9394
1879-1891
DOI:10.1016/S0002-9394(14)70394-0