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Unilateral facial nerve palsy (FNP), with an incidence of around 25 per 100,000 population, is a common neurologic disorder mimicking a stroke. It often leads to emergency department visits. Bellâs palsy, also known as idiopathic facial paralysis, is the most common cause of unilateral facial paralysis, accounting for approximately 70% of these cases . Bilateral FNP is exceedingly rare, representing less than 2% of all the facial palsy cases, and has an incidence of 1 per 5,000,000 population [2, 3].
When sixth nerve palsy is present in children, the most common cause is trauma. In rare cases, it is present at birth. Other causes for sixth nerve palsy include: 1  viral illness. 2  inflammation of the brain caused by viral illness. 3  brain tumor. 4  multiple sclerosis. 5  diabetic neuropathy. 6  intracranial pressure. 7  migraine headaches.his ocular muscle is responsible for turning the eyeball outward, away from the nose. When a person has sixth nerve palsy, the eye begins to point inward toward the nose, often resulting in double vision. Sixth nerve palsy is sometimes known as abducens nerve palsy or cranial nerve VI palsy.