Alalwi Sukainah, Alabbadi Amal, Alomair Abdullatif M, Alfaraj Dunya
Medicine, Imam Abdulrahman Bin Faisal University, Dammam, SAU.
Emergency, King Fahd Hospital of the University, Imam Abdulrahman Bin Faisal University, Dammam, SAU.
Cureus. 2021 Jan 20;13(1):e12805. doi: 10.7759/cureus.12805.
Sixth cranial nerve palsy is uncommon but a well-recognized consequence of head trauma. Although few cases documented traumatic persistent bilateral sixth nerve palsy, a transient episode is extremely rare and not reported before. We report an unusual case of transient bilateral abducens nerve palsy after minor head trauma, which was completely resolved without any intervention after 20 min. Diplopia may relate to anatomical lesion, and even transient diplopia can guide us to a serious anatomical lesion that may occur. CT scan of the head revealed a left nondisplaced occipital fracture, which extends to the left petrous bone. The patient was admitted for 24-h observation and discharged home on paracetamol. This case emphasizes the need to recognize the rare sequences of minor head trauma and manage them appropriately.
第六颅神经麻痹并不常见，但却是头部创伤公认的后果。虽然很少有病例记录创伤性持续性双侧第六神经麻痹，但短暂发作极为罕见，此前未见报道。我们报告一例轻微头部创伤后出现短暂双侧外展神经麻痹的罕见病例，20分钟后未经任何干预完全恢复。复视可能与解剖学病变有关，即使是短暂复视也可能提示我们存在可能发生的严重解剖学病变。头部CT扫描显示左侧枕骨无移位骨折，骨折延伸至左侧岩骨。患者入院观察24小时，服用对乙酰氨基酚后出院。该病例强调了认识轻微头部创伤罕见后果并进行适当处理的必要性。
