Journal of Trauma and Injury

The Korean Society of Traumatology (대한외상학회)
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A Case of Traumatic Bilateral Abducens Nerve Palsy Associated with Skull Base Fracture

두개저 골절과 동반된 외상성 양측성 외전신경 마비 1례

  • Hwang, Jeong In (Department of Emergency Medicine, DongGuk University International Hospital) ;
  • Cho, Jin Seong (Department of Emergency Medicine, DongGuk University International Hospital) ;
  • Lee, Seung Chul (Department of Emergency Medicine, DongGuk University International Hospital) ;
  • Lee, Jeong Hun (Department of Emergency Medicine, DongGuk University International Hospital)
  • 황정인 (동국대학교 일산병원 응급의학과) ;
  • 조진성 (동국대학교 일산병원 응급의학과) ;
  • 이승철 (동국대학교 일산병원 응급의학과) ;
  • 이정훈 (동국대학교 일산병원 응급의학과)
  • Received : 2008.05.10
  • Accepted : 2008.06.08
  • Published : 2008.06.30
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Abstract

Traumatic bilateral abducens nerve palsy is rare and is associated with intracranial, skull and cervical spine injuries. We report a case of bilateral abducens nerve palsy in a 40-month-old patient with a skull base fracture. The injury mechanism was associated with direct nerve injury caused by a right petrous bone fracture and indirect injury by frontal impact on the abducens nerve at the point of fixation to the petrous portion and Dorello's canal. The emergency physician should be aware of injuries and the mechanism of abducens nerve palsy in head trauma.

Keywords

References

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