title: Bilateral traumatic abducens nerve palsy associated with skull base fracture--case report.
abstract: A 29-year-old man presented with skull base fractures involving the bilateral petrous bones and clivus to the posterior clinoid process manifesting as bilateral abducens nerves palsy. Conservative treatment resulted in residual bilateral abducens nerves palsy. Posterolateral impact probably resulted in strain-stress in the neighborhood of the foramen lacerum, resulting in a clivus fracture of the posterior clinoid process and bilateral petrous bone fractures. Chalasia of Gruber's ligament then exerted mechanical pressure on the bilateral abducens nerves.
authors.affiliation: Department of Emergency and Critical Care, Nippon Medical School, Tokyo.
authors.forename: Makoto
authors.initials: M
authors.lastname: Katsuno
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Yokota
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Yamamoto
authors.forename: Akira
authors.initials: A
authors.lastname: Teramoto
mesh_terms: D020434:Abducens Nerve Diseases / Q000209:etiology*; D000063:Accidents, Traffic; D000328:Adult; D007839:Functional Laterality; D006801:Humans; D008297:Male; D009049:Motorcycles; D011859:Radiography; D019291:Skull Base / Q000000981:diagnostic imaging / Q000293:injuries; D020205:Skull Fracture, Basilar / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D016896:Treatment Outcome