Delayed bilateral abducens nerve palsy after head trauma.
Although the incidence of unilateral abducens nerve palsy has been reported to be as high as 1% to 2.7% of head trauma cases, bilateral abducens nerve palsy following trauma is extremely rare. In this report, we present the case of a patient who developed a bilateral abducens nerve palsy and hypoglossal nerve palsy 3 days after suffering head trauma. He had a Glasgow Coma Score (GCS) of 15 points. Computed tomography (CT) images demonstrated clivus epidural hematoma and subarachnoid hemorrhage on the basal cistern. Herein, we discuss the possible mechanisms of these nerve palsies and its management.
Kim
Min-Su
MS
Department of Neurosurgery, College of Medicine, Yeungnam University, Daegu, Korea.
Cho
Min-Soo
MS
Kim
Seong-Ho
SH