BENIGN VI NERVE PALSIES IN CHILDREN

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Abstract
The case histories of 12 patients who developed a VI nerve palsy after an apparently benign illness were presented. The palsy developed in children of any age in 7 to 21 days after fever or upper resplratory illness and cleared, in all but 1 child, within 10 wk. Two etiologic mechanisms are possible: otitis media and its complications, or neuritis after systemic viral illness. This is a relatively benign entity which first presents with malignant implications. Recognition of this syndrome allows the clinician to cautiously defer complicated diagnostic studies, such as arteriogram and pneumoencephalogram, with the expectation of improvement in the VI nerve palsy.

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