一例创伤性双侧展神经及单侧舌下神经麻痹病例。
A case of traumatic bilateral abducens and unilateral hypoglossal nerve palsy.
作者信息
Selçuk Ferda, Mut Senem E
机构信息
Department of Neurology, Dr. Burhan Nalbantoglu State Hospital, Nicosia, Cyprus.
出版信息
Am J Case Rep. 2013 Jul 3;14:230-4. doi: 10.12659/AJCR.889065. Print 2013.
PATIENT
Female, 47 FINAL DIAGNOSIS: Traumatic bilateral abducens • unilateral hypoglossal nerve palsy
SYMPTOMS
Diplopia Medication: - Clinical Procedure: - Specialty: Neurology Objective: Rare disease.
BACKGROUND
Incidence of unilateral abducens palsy from head trauma has been reported to be as high as 1% to 2.7%, but bilateral abducens nerve palsy is extremely rare.
CASE REPORT
We present a case in which bilateral abducens nerve and unilateral hypoglossal nerve palsy developed with a high Glasgow Coma Score (GCS) 3 hours after head trauma due to a motor vehicle crash.
CONCLUSIONS
This case highlights the occurrence and management of posttraumatic bilateral sixth nerve palsy.
患者
女性，47岁 最终诊断：创伤性双侧展神经及单侧舌下神经麻痹
症状
复视 用药情况：- 临床操作：- 专科：神经科 目的：罕见疾病。
背景
据报道，头部外伤导致单侧展神经麻痹的发生率高达1%至2.7%，但双侧展神经麻痹极为罕见。
病例报告
我们报告一例因机动车碰撞导致头部外伤后3小时出现双侧展神经及单侧舌下神经麻痹，格拉斯哥昏迷评分（GCS）较高的病例。
结论
本病例突出了创伤后双侧第六神经麻痹的发生及处理。
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