title: Unilateral abducens and bilateral facial nerve palsies associated with posterior fossa exploration surgery.
abstract: Multiple cranial nerves palsies following a posterior fossa exploration confined to an extradural compartment is a rare clinical presentation. This case report describes a young man who developed a unilateral abducens and bilateral facial nerve palsies following a posterior fossa exploration confined to an extradural compartment. There are different theories to explain this presentation, but the exact mechanism remains unclear. We propose that this patient cranial nerve palsies developed following cerebrospinal fluid (CSF) leak, potentially as a consequence of rapid change in CSF dynamics.
authors.affiliation: Department of Neurosurgery, Beaumont Hospital, Dublin, Ireland aymantawfig@yahoo.com.
authors.forename: Ayman
authors.initials: A
authors.lastname: Khalil
authors.affiliation: Department of Neurosurgery, Beaumont Hospital, Dublin, Ireland.
authors.forename: James
authors.initials: J
authors.lastname: Clerkin
authors.affiliation: Department of Neurosurgery, Beaumont Hospital, Dublin, Ireland.
authors.forename: Tafadzwa
authors.initials: T
authors.lastname: Mandiwanza
authors.affiliation: Department of Neurosurgery, Beaumont Hospital, Dublin, Ireland.
authors.forename: Sandra
authors.initials: S
authors.lastname: Green
authors.affiliation: Department of Neurosurgery, Beaumont Hospital, Dublin, Ireland.
authors.forename: Mohsen
authors.initials: M
authors.lastname: Javadpour