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We considered a diagnosis of one of the six syndromes of the sixth cranial nerve and evaluated several causes. She had history of severe anemia, vitamin B12 deficiency, and hypertension. Magnetic resonance imaging with angiography showed stenosis of the right vertebral artery and hyperintensity on both basal ganglia. As we describe here, we should consider vertebrobasilar insufficiency as a cause for sixth cranial nerve palsy if a patient has high risk for microvascular ischemia, even in the absence of acute brain hemorrhage or infarction.<\/jats:p>","DOI":"10.7874\/jao.2019.00311","type":"journal-article","created":{"date-parts":[[2019,10,8]],"date-time":"2019-10-08T09:29:51Z","timestamp":1570526991000},"page":"157-160","update-policy":"http:\/\/dx.doi.org\/10.7874\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Sixth Cranial Nerve Palsy and Vertigo Caused by Vertebrobasilar Insufficiency"],"prefix":"10.7874","volume":"24","author":[{"given":"Seung Won","family":"Paik","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hui Joon","family":"Yang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Young Joon","family":"Seo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"4621","reference":[{"key":"ref1","first-page":"160","volume-title":"The six syndromes of the sixth cranial nerve","author":"Azarmina","year":"2013"},{"key":"ref2","first-page":"303","volume-title":"[Benign paralysis of the 6th cranial nerve in children]","author":"Vall\u00e9e","year":"1990"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1016\/S1047-9651(18)30075-5"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1159\/000094331"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1097\/00004728-198805010-00024"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajoc.2018.02.029"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-5998(95)70309-8"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2018-013810"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1001\/archneur.1977.00500210076015"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1093\/qjmed\/hct051"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1038\/eye.1996.77"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1177\/0272989X9901900106"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.31.3.791-e"},{"key":"ref14","first-page":"13","volume-title":"[Neurological complications of acute myeloid leukemia in adults]","author":"Pagano","year":"1986"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.4103\/0301-4738.121089"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1097\/ICU.0b013e3283313c2f"}],"container-title":["Journal of Audiology and Otology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/ejao.org\/upload\/pdf\/jao-2019-00311.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/ejao.org\/journal\/view.php?doi=10.7874\/jao.2019.00311","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/ejao.org\/upload\/pdf\/jao-2019-00311.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,7,7]],"date-time":"2020-07-07T02:19:36Z","timestamp":1594088376000},"score":1,"resource":{"primary":{"URL":"http:\/\/ejao.org\/journal\/view.php?doi=10.7874\/jao.2019.00311"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,7,10]]},"references-count":16,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2020,7]]}},"URL":"https:\/\/doi.org\/10.7874\/jao.2019.00311","relation":{},"ISSN":["2384-1621","2384-1710"],"issn-type":[{"value":"2384-1621","type":"print"},{"value":"2384-1710","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,7,10]]},"assertion":[{"value":"2019-07-31","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-08-29","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-10-10","order":2,"name":"published","label":"Published online","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-07-10","order":3,"name":"published","label":"Print publication","group":{"name":"publication_history","label":"Publication History"}}]}}