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- A Case of Traumatic Bilateral Abducens Nerve Palsy Associated with Skull Base Fracture
- Jeong In Hwang, Jin Seong Cho, Seung Chul Lee, Jeong Hun Lee
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J Korean Soc Traumatol 2008;21(1):66-69
DOI: https://doi.org/
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Department of Emergency Medicine, DongGuk University International Hospital, Gyeonggi-do, Korea. smcer007@hanmail.net
Abstract
Traumatic bilateral abducens nerve palsy is rare and is associated with intracranial, skull and cervical spine injuries. We report a case of bilateral abducens nerve palsy in a 40-month-old patient with a skull base fracture. The injury mechanism was associated with direct nerve injury caused by a right petrous bone fracture and indirect injury by frontal impact on the abducens nerve at the point of fixation to the petrous portion and Dorello`s canal. The emergency physician should be aware of injuries and the mechanism of abducens nerve palsy in head trauma.
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