6TH NERVE PALSY - AN UNUSUAL MANIFESTATION OF PREECLAMPSIA

Background: Neurologic abnormalities may occur in pregnancy as a manif estation of neurologic or systemic disease. We present an unusual case of preeclampsia presenting with a sixth nerve lesion. Case: A 33-year -old woman, gravida 2, presented at 38 weeks' gestation with sixth ner ve palsy. She was hypertensive and proteinuric, with plasma urea of 24 mg/dl. Labor was induced and hypertension escalated in the early puer perium, with concomitant worsening diplopia. Blood pressure control an d resolution of preeclampsia were followed by resolution of the sixth nerve lesion. There was no evidence of other pathology on extensive in vestigations. Conclusion: Sixth nerve palsy is an unusual manifestatio n of preeclampsia.