title: Abducens nerve palsy associated with a clival epidural hematoma.
abstract: A clival epidural hematoma is a rare lesion that usually develops after a hyperflexion or hyperextension injury of the neck, often in a child. A 5-year-old girl presented after a motor vehicle accident with multiple cranial neuropathies, including bilateral abducens nerve pareses and right facial, glossopharyngeal, and hypoglossal cranial nerve palsies. Neuroimaging identified a clival epidural hematoma. The child was observed and the hematoma resolved. The abducens nerve palsies resolved during the ensuing 14 months.
authors.affiliation: Zanvyl Krieger Children's Eye Center, Wilmer Eye Institute, Johns Hopkins Hospital, Baltimore, Maryland 21287-9028, USA.
authors.forename: Pinar
authors.initials: P
authors.lastname: Topcu-Yilmaz
authors.forename: Michael X
authors.initials: MX
authors.lastname: Repka
mesh_terms: D020434:Abducens Nerve Diseases / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D000063:Accidents, Traffic; D020214:Cerebrovascular Trauma / Q000150:complications* / Q000503:physiopathology; D002675:Child, Preschool; D003388:Cranial Fossa, Posterior; D004172:Diplopia / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D005260:Female; D006407:Hematoma, Epidural, Cranial / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D006801:Humans; D008279:Magnetic Resonance Imaging; D014057:Tomography, X-Ray Computed; D014792:Visual Acuity / Q000502:physiology