Bilateral abducens nerve palsy due to idiopathic intracranial hypertension as an initial manifestation of systemic lupus erythematosus

Eri Katsuyama, Kenei Sada, Noriko Tatebe, Haruki Watanabe, Takayuki Katsuyama, Mariko Narazaki, Koichi Sugiyama, Katsue S. Watanabe, Hiroshi Wakabayashi, Tomoko Kawabata, Jun Wada, Hirofumi Makino

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1 Citation (Scopus)


Idiopathic intracranial hypertension (IIH) is a syndrome of increased intracranial pressure and presents as an intractable headache, vomiting, and ophthalmologic manifestations. We herein report the case of a young girl who presented with bilateral abducens nerve palsy due to IIH as the onset of systemic lupus erythematosus (SLE). The patient was successfully treated with corticosteroid therapy. Our case lacked the typical symptoms of IIH, such as headache or nausea; therefore, it is necessary to carefully determine the cause of bilateral abducens nerve palsies. The development of IIH in SLE patients is a rare occurrence, but this manifestation should not be overlooked.

Original languageEnglish
Pages (from-to)991-994
Number of pages4
JournalInternal Medicine
Issue number8
Publication statusPublished - Apr 15 2016



  • Abducens nerve palsy
  • Diagnosis
  • Idiopathic intracranial hypertension
  • Systemic lupus erythematosus
  • Treatment

ASJC Scopus subject areas

  • Internal Medicine

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