{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T18:40:02Z","timestamp":1756320002588,"version":"3.44.0"},"reference-count":14,"publisher":"BMJ","issue":"4","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,3,19]]},"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:p>A 47-year-old woman presented with six episodes of horizontal binocular double vision over a 2-year period. CT imaging was significant for extensive dural calcification in the spine and calcification of the skull base, likely involving Dorello\u2019s canal. Biochemical testing revealed a persistently low alkaline phosphatase level. Recurrent nerve palsy may possibly be induced by mechanical compression of the sixth cranial nerve in Dorello\u2019s canal from calcification due to hypophosphatasia syndrome.<\/jats:p>","DOI":"10.1136\/bcr-2018-226895","type":"journal-article","created":{"date-parts":[[2019,4,11]],"date-time":"2019-04-11T14:15:46Z","timestamp":1554992146000},"page":"e226895","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Recurrent abducens nerve palsy and hypophosphatasia syndrome"],"prefix":"10.1136","volume":"12","author":[{"given":"Neha","family":"Khade","sequence":"first","affiliation":[{"name":"Department of Neurology, Royal Perth Hospital, Perth, Western Australia, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simon","family":"Carrivick","sequence":"additional","affiliation":[{"name":"Department of Biochemistry, PathWest Laboratory Medicine Western Australia, Nedlands, Australian Capital Territory, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4433-6492","authenticated-orcid":false,"given":"Carolyn","family":"Orr","sequence":"additional","affiliation":[{"name":"Department of Neurology, Royal Perth Hospital, Perth, Western Australia, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Prentice","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Royal Perth Hospital, Perth, Australian Capital Territory, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,4,11]]},"reference":[{"key":"2025082711132919000_12.4.e226895.1","doi-asserted-by":"crossref","DOI":"10.1093\/rheumatology\/kew424","article-title":"Recognizing the clinical triad and dural calcification in adult hypophosphatasia","volume":"58","author":"Chew","year":"2016","journal-title":"Rheumatology"},{"key":"2025082711132919000_12.4.e226895.2","doi-asserted-by":"crossref","first-page":"633","DOI":"10.3171\/2013.9.PEDS13356","article-title":"Recurrent and self-remitting sixth cranial nerve palsy: pathophysiological insight from skull base chondrosarcoma","volume":"12","author":"Frassanito","year":"2013","journal-title":"J Neurosurg Pediatr"},{"key":"2025082711132919000_12.4.e226895.3","doi-asserted-by":"crossref","first-page":"373","DOI":"10.2147\/OPTH.S78319","article-title":"Causes of isolated recurrent ipsilateral sixth nerve palsies in older adults: a case series and review of the literature","volume":"9","author":"Chan","year":"2015","journal-title":"Clin Ophthalmol"},{"key":"2025082711132919000_12.4.e226895.4","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9394(02)01439-3"},{"key":"2025082711132919000_12.4.e226895.5","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9394(14)70799-8"},{"key":"2025082711132919000_12.4.e226895.6","doi-asserted-by":"publisher","DOI":"10.1038\/sj.eye.6702272"},{"key":"2025082711132919000_12.4.e226895.7","doi-asserted-by":"publisher","DOI":"10.1111\/j.1526-4610.2009.01405.x"},{"key":"2025082711132919000_12.4.e226895.8","doi-asserted-by":"publisher","DOI":"10.1097\/NRL.0b013e3181870408"},{"key":"2025082711132919000_12.4.e226895.9","doi-asserted-by":"crossref","first-page":"372","DOI":"10.1016\/j.amjoto.2009.03.003","article-title":"Recurrent contralateral abducens nerve palsy in acute unilateral sphenoiditis","volume":"31","author":"Gupta","year":"2010","journal-title":"Am J Otolaryngol"},{"key":"2025082711132919000_12.4.e226895.10","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.55.10.976"},{"key":"2025082711132919000_12.4.e226895.11","doi-asserted-by":"publisher","DOI":"10.1001\/archneur.1983.04050040056009"},{"key":"2025082711132919000_12.4.e226895.12","doi-asserted-by":"publisher","DOI":"10.1038\/nrendo.2016.14"},{"key":"2025082711132919000_12.4.e226895.13","doi-asserted-by":"publisher","DOI":"10.1001\/archopht.1993.01090100099035"},{"key":"2025082711132919000_12.4.e226895.14","doi-asserted-by":"publisher","DOI":"10.1016\/S0014-4886(03)00310-8"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2018-226895","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T18:13:37Z","timestamp":1756318417000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2018-226895"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,4]]},"references-count":14,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2019,4,11]]},"published-print":{"date-parts":[[2019,4]]}},"alternative-id":["10.1136\/bcr-2018-226895"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2018-226895","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2019,4]]}}}