title: [Bilateral sixth nerve and left third nerve palsy after head trauma].
abstract: METHODS
  To describe a case of combined bilateral cranial nerve palsy of traumatic origin. To determine the lesions that produce the symptoms is useful to define the final prognosis and the best treatment.
  
  
  CONCLUSIONS
  We report the case of a patient who developed a bilateral sixth nerve and left third nerve palsy after head trauma. The underlying lesion was a diffuse axonal injury. After an observation period during which no spontaneous improvement occurred, we administered botulinum toxin with a successful clinical result. Bilateral combined traumatic cranial nerve palsies are rare. When a diffuse axonal injury is present, the chance of spontaneous resolution is poor.
authors.affiliation: Hospital Universitario La Paz, Madrid, Spain. noeruizdelrio@yahoo.es
authors.forename: N
authors.initials: N
authors.lastname: Ruiz-de-Río
authors.forename: A
authors.initials: A
authors.lastname: Arbizu-Duralde
authors.forename: P
authors.initials: P
authors.lastname: Miranda-Lloret
authors.forename: M
authors.initials: M
authors.lastname: Asencio-Durán
authors.forename: J
authors.initials: J
authors.lastname: Peralta-Calvo
mesh_terms: D020434:Abducens Nerve Diseases / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D000368:Aged; D019274:Botulinum Toxins, Type A / Q000627:therapeutic use; D006259:Craniocerebral Trauma / Q000150:complications*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009465:Neuromuscular Agents / Q000627:therapeutic use; D015840:Oculomotor Nerve Diseases / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D016896:Treatment Outcome
chemical_list: D009465:Neuromuscular Agents; D019274:Botulinum Toxins, Type A