Salunke Pravin, Madhivanan Karthigeyan, Kamali Nasib, Garg Ravi
Department of Neurosurgery, PGIMER, Chandigarh, India.
Asian J Neurosurg. 2016 Oct-Dec;11(4):446. doi: 10.4103/1793-5482.145056.
Bilateral abducens and facial palsy following head injury are extremely rare. We present a patient with post-traumatic bilateral facial and abducens palsy. There were bitemporal fractures that did not correspond with the facial canal. Despite complete facial palsy with axonal degeneration and > 90% facial muscle degenervation, conservative management helped. This report highlights the importance of conservative management in post-traumatic complete facial palsy especially when the fracture line does not correspond with the facial canal.