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Chi SL et al. – There remains a lack of large–scale, prospective, age–specific studies to indicate the diagnostic yield of immediate neuroimaging in the setting of acute isolated CN VI palsy. An algorithm is offered for the evaluation of acute isolated CN VI palsy, which allows for initial expectant observation and re–consideration of obtaining neuroimaging upon follow–up if the ophthalmoplegia does not improve, progresses, or becomes nonisolated.

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