Traumatic bilateral abducent nerve palsies.
A patient sustained a severe cranio-facial injury which included a transverse fracture of the middle cranial fossa through the sella turcica producing otorrhoea, rhinorrhoea, a bilateral abducents palsy and a large aero-coele. All gradually remitted spontaneously. The management of this patient and the patterns of cranial base fractures and their associated clinical features, particularly of the middle cranial fossa, are discussed.
D020222:Abducens Nerve Injury; D000328:Adult; D002559:Cerebrospinal Fluid Rhinorrhea / Q000209:etiology; D005260:Female; D006801:Humans; D010243:Paralysis / Q000209:etiology*; D011007:Pneumocephalus / Q000209:etiology; D012887:Skull Fractures / Q000150:complications*; D013100:Sphenoid Bone / Q000293:injuries*