Arias M J
Neurosurgery. 1985 Feb;16(2):232-4. doi: 10.1227/00006123-198502000-00020.
Bilateral traumatic abducens nerve palsy is a rare condition. Here a case without skull fracture and associated with cervical spine fracture is reported. Only two cases like this were found in a review of the literature. The mechanism of the lesion is discussed in light of the two main theories proposed thus far. When the injury is acute, as happens in the majority of cases, the nerve lesion probably is due to contusion and stretch of the nerve trunk against the ridge of the petrous bone and the rigid dural hole of entrance in the extradural space at the basilar process.
双侧创伤性展神经麻痹是一种罕见的病症。本文报告了一例无颅骨骨折但伴有颈椎骨折的病例。在文献回顾中仅发现两例这样的病例。根据迄今为止提出的两种主要理论对病变机制进行了讨论。当损伤为急性时，如大多数病例那样，神经损伤可能是由于神经干在岩骨嵴和基底节硬膜外间隙硬脑膜入口处的刚性孔道上受到挫伤和牵拉所致。
