{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T11:27:50Z","timestamp":1774438070076,"version":"3.50.1"},"reference-count":5,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>A 27-year-old man presented with diplopia without features of raised intracranial pressure. He had left sixth cranial nerve (CN) palsy. Initial investigations in the form of blood tests, cerebrospinal fluid (CSF) opening pressure including CSF analysis and CT head were normal. He represented with paraparesis after 3 weeks. Examination revealed sixth CN palsy (eye twist) and new left-sided twelfth CN palsy (tongue twist), and hence Godtfredsen syndrome was diagnosed. MRI showed vertebral and clivus metastases. He showed partial response to high dose steroid. The statement \u2018sixth CN palsy may be a false localising sign\u2019 in neurology, should be followed by \u2018....it can also be a true initial sign of clivus mass.\u2019<\/jats:p>","DOI":"10.1136\/bcr.06.2011.4366","type":"journal-article","created":{"date-parts":[[2011,7,29]],"date-time":"2011-07-29T15:13:53Z","timestamp":1311952433000},"page":"bcr0620114366","source":"Crossref","is-referenced-by-count":5,"title":["Eye twist and tongue twist: a rare neurological syndrome"],"prefix":"10.1136","volume":"2011","author":[{"given":"Lekhjung","family":"Thapa","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raju","family":"Paudel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pramod","family":"Chhetri","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"PVS","family":"Rana","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2011,7,29]]},"reference":[{"key":"2025042707533403000_2011.jul28_1.bcr0620114366.1","first-page":"149","article-title":"Sixth nerve palsy as the initial presenting sign of metastatic prostate cancer. A case report and review of the literature.","volume":"12","author":"O\u2019Boyle","year":"1992","journal-title":"J Clin Neuroophthalmol"},{"key":"2025042707533403000_2011.jul28_1.bcr0620114366.2","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.31.2.78"},{"key":"2025042707533403000_2011.jul28_1.bcr0620114366.3","unstructured":"Brazis PW Masdeu JC Bill\u00e9r J . Localization in clinical neurology. Fifth edition. India: Wolter Kluwer 2008:195."},{"key":"2025042707533403000_2011.jul28_1.bcr0620114366.4","doi-asserted-by":"crossref","first-page":"1540","DOI":"10.1212\/WNL.54.7.1540","article-title":"Combined VIth and XIIth cranial nerve palsies: a clival syndrome","volume":"54","author":"Keane","year":"2000","journal-title":"Neurology"},{"key":"2025042707533403000_2011.jul28_1.bcr0620114366.5","doi-asserted-by":"publisher","DOI":"10.1007\/s00701-009-0229-1"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr.06.2011.4366","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T14:53:46Z","timestamp":1745765626000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr.06.2011.4366"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,7,29]]},"references-count":5,"alternative-id":["10.1136\/bcr.06.2011.4366"],"URL":"https:\/\/doi.org\/10.1136\/bcr.06.2011.4366","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,7,29]]}}}