A Case of Traumatic Bilateral Abducens Nerve Palsy Associated with Skull Base Fracture.
- Author:
Jeong In HWANG
1
;
Jin Seong CHO
;
Seung Chul LEE
;
Jeong Hun LEE
Author Information
1. Department of Emergency Medicine, DongGuk University International Hospital, Gyeonggi-do, Korea. smcer007@hanmail.net
- Publication Type:Case Report
- Keywords:
Bilateral traumatic abducens nerve palsy;
Skull base fracture;
Head trauma
- MeSH:
Abducens Nerve;
Abducens Nerve Diseases;
Craniocerebral Trauma;
Emergencies;
Humans;
Petrous Bone;
Preschool Child;
Skull;
Skull Base;
Spine
- From:Journal of the Korean Society of Traumatology
2008;21(1):66-69
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Traumatic bilateral abducens nerve palsy is rare and is associated with intracranial, skull and cervical spine injuries. We report a case of bilateral abducens nerve palsy in a 40-month-old patient with a skull base fracture. The injury mechanism was associated with direct nerve injury caused by a right petrous bone fracture and indirect injury by frontal impact on the abducens nerve at the point of fixation to the petrous portion and Dorello`s canal. The emergency physician should be aware of injuries and the mechanism of abducens nerve palsy in head trauma.
