• Courtesy of Taylor M. Nguyen, Damien Luviano, MD
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    Neuro-Ophthalmology/Orbit

    Below is a patient who presented with complaints of binocular horizontal diplopia. The patient’s MRI scan shows a large tumor in the left hemisphere creating a mass effect. On exam, a left sixth nerve palsy was noted. A sixth nerve palsy in a patient without a history of hypertension or diabetes is concerning for a brain etiology. The sixth nerve is the cranial nerve most likely to be involved in brain disease, such as brain edema, because it has the longest length and course.