Post-Traumatic Bilateral Abducens Nerve Palsy and Unilateral Facial Nerve Palsy: A Case Report

Pancko, Franklin X.; Barrios, Thomas J.

doi:10.1016/j.joms.2009.05.443

Cited by 7 publications

(4 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Management of this condition is variable, with acute management consisting of patching one eye to alleviate the symptoms of strabismus and chronic management involving botulinum toxin injection of the antagonizing medial rectus muscle during the recovery period. [78] In addition, there is conflicting evidence in the literature on the efficacy of treatment with botulinum versus watchful waiting. [8] Our patient was referred to a tertiary center for the management of her lateral gaze deficit, but there were no records to indicate that she received treatment at that facility or that any treatment more than the initial patching was prescribed.…”

Section: Discussionmentioning

confidence: 99%

Bilateral abducens nerve palsy after closed head trauma without acute intracranial pathology

Serio

Choi

McCague

2019

J Emerg Trauma Shock

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Bilateral abducens nerve palsy after closed head trauma without acute intracranial pathology

Serio

Choi

McCague

2019

J Emerg Trauma Shock

View full text Add to dashboard Cite

show abstract

“…Traumatic abducens nerve palsy associated with other cranial nerve palsy including facial and hypoglossal nerves has been reported. 10,11) Although the incidence is unclear, we recommend careful examination of other cranial nerves, including VII and VIII, in patients with traumatic abducens nerve palsy.…”

Section: Discussionmentioning

confidence: 99%

Post-traumatic Unilateral Avulsion of the Abducens Nerve with Damage to Cranial Nerves VII and VIII: Case Report

Yamasaki

Akiyama

Tsumura

et al. 2016

NMC Case Report Journal

View full text Add to dashboard Cite

Traumatic injuries of the abducens nerve as a consequence of facial and/or head trauma occur with or without associated cervical or skull base fracture. This is the first report on unilateral avulsion of the abducens nerve in a 29-year-old man with severe right facial trauma. In addition, he exhibited mild left facial palsy, and moderate left hearing disturbance. Magnetic resonance imaging (MRI) using fast imaging employing steady-state acquisition (FIESTA) revealed avulsion of left sixth cranial nerve. We recommend thin-slice MR examination in patients with abducens palsy after severe facial and/or head trauma.

show abstract

“…The most common associated nerves involved along with bilateral abducens nerve injury are facial and hypoglossal nerves. [21][22][23][24][25][26][27][28][29] Other nerves involved according to literature review were oculomotor, trochlear, trigeminal nerves. 18,30,31 Cases with retroclival extradural haematoma had higher chances of multiple cranial nerve injuries.…”

Section: Anatomy Of Abducens Nervementioning

confidence: 99%

Bilateral abducens palsy in closed head injury: A comprehensive review of literature based on a case report

Sandeep

Banga

et al. 2021

Asian J Med Sci

View full text Add to dashboard Cite

Isolated bilateral sixth nerve palsies are rare, particularly in the setting of trauma. Most post-head injury cases with bilateral abducens palsy involve either basal skull fractures, particularly clival fractures. We present a case of bilateral abducens palsy after closed head injury in a young male who presented to the emergency department and a comprehensive literature review based on our clinical case. A Medline search for bilateral abducens palsy in closed head injury showed 89 results. Articles were excluded if crush head injury, non-traumatic bilateral abducens nerve palsy, associated vascular malformations were reported. After thorough search and filtering of those articles, fifty-one publications were found which reported and discussed about traumatic bilateral abducens palsy with closed head injury. In these 51 articles, a total of 139 cases were recorded. Several theories have been postulated to explain mechanisms of abducens nerve injury in trauma both in immediate and delayed settings. In our case, patient presented with immediate onset of bilateral abducens palsy. On imaging, clival fracture was seen in CT brain, which can be attributed for the nerve injury. Cases with retroclival extradural haematoma had higher chances of multiple cranial nerve injuries. Cases with multiple basal skull fracture involving petrous temporal bone fracture had higher chances of facial nerve injury. Along with bilateral involvement, the poorer outcome for recovery can be related with the severity of the adduction deficit. Our case showed no improvement in bilateral abduction during follow-up at 6 months. Clinical presentation of traumatic bilateral abducens nerve palsy is rare following closed head trauma and is usually associated with other injuries which are incompatible with life. It can be associated with other nerve injuries depending on basal skull fractures.

show abstract

Post-Traumatic Bilateral Abducens Nerve Palsy and Unilateral Facial Nerve Palsy: A Case Report

Cited by 7 publications

References 17 publications

Bilateral abducens nerve palsy after closed head trauma without acute intracranial pathology

Bilateral abducens nerve palsy after closed head trauma without acute intracranial pathology

Post-traumatic Unilateral Avulsion of the Abducens Nerve with Damage to Cranial Nerves VII and VIII: Case Report

Bilateral abducens palsy in closed head injury: A comprehensive review of literature based on a case report

Contact Info

Product

Resources

About