Journal of the Korean Society of Traumatology  2008;21(1):66-69

A Case of Traumatic Bilateral Abducens Nerve Palsy Associated with Skull Base Fracture.

Jeong In HWANG 1 ; Jin Seong CHO ; Seung Chul LEE ; Jeong Hun LEE

Affiliations

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Keywords

Bilateral traumatic abducens nerve palsy; Skull base fracture; Head trauma

Country

Republic 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.