Aim: The aim of the present study was to determine the clinical presentation and document the etiological factors in patients with ocular motor nerve palsy involving 6th cranial nerve. Methods: The cross-sectional study was conducted at a tertiary care center in western India from September 2020 to October 2022 and 33 consecutive patients presenting with cranial nerves were included in study from wards and opd in a tertiary care center and sample size was calculated according to win pepi method