Transient first-degree AV block and sixth nerve palsy in a patient with closed head injury.
We present the case of an 8-year-old girl who suffered a closed head injury with the development of bilateral sixth-nerve palsies, and who was noted upon arrival to the emergency department to be in first-degree AV block. The sixth-nerve palsies and the first-degree AV block resolved simultaneously within 24 hours of injury. We discuss dysrhythmias and ECG changes previously reported with central nervous system diseases and their proposed etiology.
Dire
D J
DJ
Department of Emergency Medicine, Darnall Army Community Hospital, Fort Hood, TX 76544-5603.
Patterson
R
R
D020222:Abducens Nerve Injury; D000058:Accidental Falls; D002648:Child; D006259:Craniocerebral Trauma / Q000150:complications*; D004172:Diplopia / Q000209:etiology*; D004562:Electrocardiography; D005260:Female; D006327:Heart Block / Q000209:etiology*; D006801:Humans