Homer J J, Johnson I J, Jones N S
Department of Otorhinolaryngology-Head and Neck Surgery, Queens Medical Centre, Nottingham, UK.
J Laryngol Otol. 1996 Sep;110(9):872-4. doi: 10.1017/s0022215100135200.
Three cases of patients with acute middle ear infections complicated by a sixth nerve palsy are described. The possible causes of sixth nerve palsy in such cases are discussed. We propose that where there is a sixth nerve palsy without petrositis and without raised intracranial pressure, it can arise as a result of spreading phlebitis along the inferior petrosal sinus from the lateral sinus.
