A rare case of post traumatic isolated bilateral abducens nerve palsy

Jaiswal, Manish; Jain, Saurabh; Gandhi, Ashok; Sharma, Achal; Mittal, Radhey Shyam

doi:10.2478/romneu-2014-0068

Cited by 3 publications

(6 citation statements)

References 6 publications

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“…Most commonly, it results from a vascular origin, inflammatory diseases, and tumors. Thus, few cases of post-traumatic bilateral sixth nerve palsy have been reported in the literature [ 8 ].…”

Section: Discussionmentioning

confidence: 99%

Transient Bilateral Sixth Nerve Palsy: A Rare Sequela of Head Trauma

Alalwi

Alabbadi

Alomair

et al. 2021

Cureus

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Section: Discussionmentioning

confidence: 99%

Transient Bilateral Sixth Nerve Palsy: A Rare Sequela of Head Trauma

Alalwi

Alabbadi

Alomair

et al. 2021

Cureus

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“…Lesions within the intra cavernous sinus will generally produce symptoms involving multiple cranial neuropathy. While the craniofacial trauma includes orbital wall fracture may cause entrapment of the extraocular muscles that creates impairment of ocular movement [4,7,8].…”

Section: Discussionmentioning

confidence: 99%

“…It is important to distinguish between the lateral rectus muscle entrapment in blow out fractures and peripheral nerve injury in terms of the standard treatment and avoiding unnecessary surgery. Physical examination and proper neuroimaging tests are needed to distinguish the causes of the nerve impairment [3,4].…”

Section: Introductionmentioning

confidence: 99%

A Case of Traumatic Isolated Unilateral Sixth Cranial Nerve Palsy

2017

JOCR

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Traumatic isolated sixth cranial nerve palsy is a rare condition that has been reported to be as low as 1% to 2, 7% following traumatic brain injury. The sixth nerve innervates the ipsilateral lateral rectus which abducts the eye. Isolated loss of lateral gaze with no other cranial nerve signs and muscular entrapment is thought to be resulted from an injury to the peripheral nerve along its course from the brain stem to the lateral rectus. We presented a case of traumatic isolated unilateral sixth cranial nerve palsy in a female patient with diplopia and restriction left eye movement to lateral following head trauma after accident. Head Computed Tomography (CT) scan showed left frontal bone fracture involving the lateral wall of the orbit and also left retro orbital hemorrhage with no other lesions noted in the brain. Eye examination revealed isolated sixth cranial nerve palsy with normal vision of both eyes. Here we discussed about the possible mechanism, differential diagnosis and also management of the patient.

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“…Abducens nerve palsy was the most common injury sustained, as described in 13 articles. [7][8][9][10][11][12][13][14][15][16][17][18][19] One retrospective study 7 identified 17 (28.3%) cases of CN3 and 20 (33.3%) cases of CN4 palsies in the 60 cases examined. Additionally, combined nerve palsies constituted five cases (8.3%).…”

Section: Nerve Palsiesmentioning

confidence: 99%

“…Additionally, combined nerve palsies constituted five cases (8.3%). In the 13 articles, bilateral abducens palsies were present in 12 patients, 8,9,[11][12][13][14][15][17][18][19] unilateral left abducens palsy occurred in 1 patient 10 while the rest were unspecified. 7,10,16 The abducens nerve is most commonly involved as it runs a long intracranial course and is vulnerable to injury.…”

Section: Nerve Palsiesmentioning

confidence: 99%

Ocular Manifestations of Whiplash Injury

Ling

Sanjay

2016

EMJ

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Introduction: Whiplash or indirect injuries to the neck are a common occurrence because of motor vehicle collisions, in which the frequency of ocular complications is largely unknown. Aim: We aim to review the ocular manifestations, the utility of relevant diagnostic tests, the management, prognosis, and sequelae of whiplash-related ocular complications. Methods: A comprehensive literature search was conducted on Medline®, PubMed®, Google Scholar™, and Cochrane databases. Only articles published or translated into the English language from 1985–2015 were considered and key data from the full article of each paper were extracted and evaluated. Results: The authors’ search yielded 41 articles. Blurring of vision was the most common presenting symptom. Other common presenting symptoms included words and objects moving within the visual field as well as difficulty in concentration. Ocular findings involved: disturbed eye movements; vestibulo-ocular reflex and cervico-ocular reflex dysfunction; anterior segment abnormalities such as accommodative and convergence dysfunction and relative afferent papillary defect; and posterior segment abnormalities such as macular oedema and foveal lesions. The treatment for ophthalmic complications of whiplash injuries is mainly conservative and revolves around neck physiotherapy and oculomotor rehabilitation. The prognosis of the ocular injury depends on the ocular findings as well as the interval between whiplash injury and treatment initiation. Conclusion: Whiplash injuries occur commonly in motor vehicle accidents. While patients may present asymptomatically, a myriad of ophthalmic complications may be detected. Prognosis for ocular complications depends mainly on the severity of complication(s), the time lapse between injury and detection of complication(s), and the initiation of treatment. Ophthalmologists and physicians should be aware and vigilant towards patients following whiplash injury as a small minority of patients may have poor visual outcome and quality of life without treatment and follow-up.

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A rare case of post traumatic isolated bilateral abducens nerve palsy

Cited by 3 publications

References 6 publications

Transient Bilateral Sixth Nerve Palsy: A Rare Sequela of Head Trauma

Transient Bilateral Sixth Nerve Palsy: A Rare Sequela of Head Trauma

A Case of Traumatic Isolated Unilateral Sixth Cranial Nerve Palsy

Ocular Manifestations of Whiplash Injury

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