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A 5 year old Asian boy presented to the paediatrician with diplopia following ear ache. Isolated VI nerve palsy was suspected. Full blood count, ESR, magnetic resonance imaging (MRI), and ENT examination were normal. He recovered within a week, but subsequently suffered six episodes of transient convergent squint with abduction deficit. He was referred to our neurologist for further opinion.
His developmental milestones, family history, and ocular and general examination as well as investigations were normal apart from vitiligo around the lids. At subsequent consultation, a right convergent squint was noted but with …
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