Glomus jugulare tumour presenting with VIth nerve palsy

We report two cases of glomus jugulare tumour with diplopia secondary to VIth nerve palsy as the presenting feature. Methods: Patients included were, one female with an age of presentation of 52 years and one male of 55 years. Both patients underwent resection surgery for the tumour. Both patients were managed initially with Botulinum toxin followed by appropriate squint surgery for the ocular motility problem. One patient regained binocular vision with stereopsis of 240. Conclusion: This case report is to highlight the rare presentation of sixth nerve palsy as a result of glomus jugulare tumour. To our knowledge, VIth nerve palsy as the presenting feature of glomus jugulare tumour has not been reported before.