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

Hwang, Jeong In (Department of Emergency Medicine, DongGuk University International Hospital)
Cho, Jin Seong (Department of Emergency Medicine, DongGuk University International Hospital)
Lee, Seung Chul (Department of Emergency Medicine, DongGuk University International Hospital)
Lee, Jeong Hun (Department of Emergency Medicine, DongGuk University International Hospital)
Publication Information
Journal of Trauma and Injury / v.21, no.1, 2008 , pp. 66-69 More about this Journal
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.
Keywords
Bilateral traumatic abducens nerve palsy; Skull base fracture; Head trauma;
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