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Related to sixth cranial nerve: Cranial nerves
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The patient presented with typical clinical features of unilateral headache/periorbital pain with associated involvement of the third, fourth, and sixth cranial nerves.
Patient regained consciousness on third day after admission but exhibited isolated sixth cranial nerve palsy of both sides.
However, in the clinical setting described here, the most likely cause in an older man with high blood pressure is a partial paralysis of the sixth cranial nerve (CN VI.