创伤后外展神经单侧撕脱伴第 VII 和第 VIII 颅神经损伤：病例报告
Post-traumatic Unilateral Avulsion of the Abducens Nerve with Damage to Cranial Nerves VII and VIII: Case Report.
作者信息
Yamasaki Fumiyuki, Akiyama Yuji, Tsumura Ryu, Kolakshyapati Manish, Adhikari Rupendra Bahadur, Takayasu Takeshi, Nosaka Ryo, Kurisu Kaoru
机构信息
Department of Neurosurgery, Institute of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8551, Japan.
Department of Clinical Radiology, Hiroshima University Hospital, Hiroshima 734-8551, Japan.
出版信息
NMC Case Rep J. 2016 May 16;3(3):81-83. doi: 10.2176/nmccrj.cr.2015-0272. eCollection 2016 Jul.
Traumatic injuries of the abducens nerve as a consequence of facial and/or head trauma occur with or without associated cervical or skull base fracture. This is the first report on unilateral avulsion of the abducens nerve in a 29-year-old man with severe right facial trauma. In addition, he exhibited mild left facial palsy, and moderate left hearing disturbance. Magnetic resonance imaging (MRI) using fast imaging employing steady-state acquisition (FIESTA) revealed avulsion of left sixth cranial nerve. We recommend thin-slice MR examination in patients with abducens palsy after severe facial and/or head trauma.
外展神经因面部和/或头部创伤而发生的创伤性损伤，可伴有或不伴有相关的颈椎或颅底骨折。这是首例关于一名29岁严重右侧面部创伤男性外展神经单侧撕脱的报告。此外，他还表现出轻度左侧面神经麻痹和中度左侧听力障碍。使用稳态采集快速成像（FIESTA）的磁共振成像（MRI）显示左侧第六颅神经撕脱。我们建议对严重面部和/或头部创伤后出现外展神经麻痹的患者进行薄层MR检查。
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