Article Text

Download PDFPDF
When a bruise is not just a bruise
  1. Su-Yin Lim,
  2. Champika Gunawardhana,
  3. Mark Lawden
  1. Department of Neurology, Leicester General Hospital, Leicester, UK
  1. Correspondence to Dr Su-Yin Lim, Department of Neurology, Leicester General Hospital, Gwendolen Road, Leicester LE5 4PW, UK; suyinlim{at}

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.


A 58-year-old woman developed binocular diplopia after violently retching during an episode of gastroenteritis. She experienced discomfort over the left lower eyelid and then developed diplopia, maximal on left gaze.

On examination, there was restriction of left eye abduction. Visual acuity was normal. Her pupils were equal and reactive. She had no ptosis or proptosis, and fundoscopy was normal. An unenhanced CT scan of head was reported as normal and she was discharged home with a diagnosis of an idiopathic left sixth cranial nerve palsy. Two …

View Full Text


  • Contributors S-YL: drafting the article. CG: review of the case history and revision of article. ML: revisions and final approval of article.

  • Competing interests None.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed. This paper was reviewed by Kate Ahmad, Sydney, Australia.

Linked Articles

  • Editors' choice
    Phil Smith Geraint Fuller

Other content recommended for you