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Schroeder B, Brieden S. 
“Bilateral sixth nerve palsy associated with MDMA ('ecstasy') abuse”. 
Am J Ophthalmol. 2000;129(3):408-9.

PURPOSE:To report the association of methylenedioxymetamphetamine (MDMA, 'ecstasy') abuse and bilateral sixth nerve palsy.

METHODS: Case report.

RESULTS: A 17-year-old male presented with horizontal diplopia in all directions of gaze after having taken MDMA tablets at 5-day to 7-day intervals during a 2-month period. Examination showed bilateral sixth nerve palsy. Ocular motility returned to normal within 5 days without use of MDMA and with no other treatment. CONCLUSION: Methylenedioxymetamphetamine 'ecstasy' abuse should be considered in the differential diagnosis in otherwise unexplained sixth nerve palsy.
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