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Journal of Child Neurology
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Isolated Abducens Nerve Palsy: An Unusual Presentation of Leukemia

Kuo-Shin Chen, MD

Division of Pediatric Neurology Chang Gung Children's Hospital Medical College of Chang Gung University Department of Pediatrics

Iou-Jih Hung, MD

Division of Pediatric Hematology and Oncology Chang Gung Children's Hospital Medical College of Chang Gung University Taoyuan, Taiwan

Kuang-Lin Lin, MD

Division of Pediatric Neurology Chang Gung Children's Hospital Medical College of Chang Gung University Taoyuan, Taiwan, lincgh{at}adm.cgmh.org.tw

We present a case of isolated abducens nerve palsy with negative magnetic resonance imaging (MRI) findings and unusual cerebrospinal fluid results. The patient was treated for a central nervous system infection initially. After the second cerebrospinal fluid examination, a diagnosis of central nervous system leukemia was made. Isolated abducens nerve palsy is not always a stable or benign illness, even with a normal brain MRI study. Abnormal cerebrospinal fluid results should suggest the presence of a central nervous system malignancy. (J Child Neurol 2002;17:850—851).

Journal of Child Neurology, Vol. 17, No. 11, 850-851 (2002)
DOI: 10.1177/08830738020170111702
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