case_images: PMC10831199_01
case_images: Sixth cranial (abducens) nerve palsy. Sixth cranial nerve palsy affects the lateral rectus muscle, impairing eye abduction. The patient showed a bilateral inability to perform ocular abduction, confirming the presence of bilateral paresis of the sixth cranial nerve. The hand symbol represents the focal point determined by the physician toward which the patient is attempting to direct their gaze.
case_images: cureus-0016-00000051532-i01.jpg
case_images: PMC10831199_01_cureus-0016-00000051532-i01.jpg
case_images: FIG1
case_images: Figure 1 shows part of the patient's neurologic examination where sixth cranial nerve palsy is evident.
case_images: Cranial MRI scan on the fourth day of hospitalization in different cuts (images A and B). . Both images reveal T2 hyperintensity in some sulci, leptomeningeal enhancement, and ventricular enlargement (more visible in image B).
case_images: cureus-0016-00000051532-i02.jpg
case_images: PMC10831199_01_cureus-0016-00000051532-i02.jpg
case_images: FIG2
case_images: A cranial MRI scan at this time revealed T2 hyperintensity in some sulci, leptomeningeal enhancement, and ventricular enlargement (Figure 2A, 2B).