You are currently viewing Multiple Ocular Motor Nerve Palsies – Mnemonic

Here is a quick mnemonic “MULTIPLE PALSY to remember about Multiple Ocular Motor Nerve Palsies

This can be valuable for patients as well as medical doctors, nurses & students doing their clinical rounds. You can also find it very useful for med exams like USMLE, MBBS, NEET PG, FMGE, NExT, MCAT & NCLEX exams

Multiple Ocular Motor Nerve Palsies : How To Remember Easily ?

  • M – Multiple nerve palsies can be caused by various conditions.
  • U – Unless there is a strong evidence, spontaneous microvascular events should not be attributed as the primary cause.
  • L – Lambert-Eaton myasthenic syndrome, associated with cancer, can lead to ophthalmoplegia.
  • T – Temporal arteritis, a form of giant cell arteritis, can cause diplopia from ischemic palsies.
  • I – In diabetic or immunocompromised individuals, fungal infections can be a common cause of multiple nerve palsies.
  • P – Palsies affecting more than one cranial nerve at a time are a remarkable coincidence.
  • L – Lambert-Eaton myasthenic syndrome should be considered in patients with systemic malignancy.
  • E – Examination of the cerebrospinal fluid may yield negative cytologic results despite repeated sampling.
  • P – Proximity of the ocular motor nerves in the cavernous sinus, superior orbital fissure, and orbital apex should be considered during neuroimaging.
  • A – Antiganglioside antibodies (GQ1b) can be detected in about 50% of cases of Fisher’s syndrome.
  • L – Lambert-Eaton myasthenic syndrome can produce ophthalmoplegia.
  • S – Spontaneous microvascular events affecting more than one cranial nerve at a time can occur, especially in diabetic patients.
  • Y – You should exhaust all other diagnostic alternatives before confirming the diagnosis.


Dr. Arin Nandi

Passionate About Medical Science & Helping Future Doctors Achieve Top Ranks In Medical Exams. He is professionally a dentist as well as a public health expert from JIPMER (1), (2)working in health department