Department of Neurosurgery, University of Michigan Medical Center, Ann Arbor, Michigan, USA.
J Neuroophthalmol. 2010 Mar;30(1):18-25. doi: 10.1097/WNO.0b013e3181ce14ae.
Eight patients sustained a combination of clival epidural hematoma, traumatic sixth cranial nerve palsy (6 NP), and occipitocervical injury. This combination of features has been sparsely described. Whether the hematoma, which represents tectorial membrane injury, is merely a marker for 6 NP and occipitocervical injury or is causative is unresolved, but this imaging finding should alert examiners who note traumatic 6 NP to the need for detailed cervical imaging, as surgical stabilization of this region may be critical to prevent future spinal cord dysfunction.
八名患者同时发生颅底硬膜外血肿、创伤性第六颅神经麻痹（6 NP）和枕颈损伤。这种特征组合描述甚少。血肿代表天幕膜损伤，是否仅是 6 NP 和枕颈损伤的标志物，或者是否是病因尚不清楚，但这种影像学发现应该提醒检查者，注意到创伤性 6 NP 时需要进行详细的颈椎影像学检查，因为该区域的手术稳定可能对预防未来脊髓功能障碍至关重要。
