Delayed bilateral abducens nerve palsy after head trauma.
作者信息
Kim Min-Su, Cho Min-Soo, Kim Seong-Ho
机构信息
Department of Neurosurgery, College of Medicine, Yeungnam University, Daegu, Korea.
出版信息
J Korean Neurosurg Soc. 2008 Dec;44(6):396-8. doi: 10.3340/jkns.2008.44.6.396. Epub 2008 Dec 31.
Abstract
Although the incidence of unilateral abducens nerve palsy has been reported to be as high as 1% to 2.7% of head trauma cases, bilateral abducens nerve palsy following trauma is extremely rare. In this report, we present the case of a patient who developed a bilateral abducens nerve palsy and hypoglossal nerve palsy 3 days after suffering head trauma. He had a Glasgow Coma Score (GCS) of 15 points. Computed tomography (CT) images demonstrated clivus epidural hematoma and subarachnoid hemorrhage on the basal cistern. Herein, we discuss the possible mechanisms of these nerve palsies and its management.
摘要
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