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Journal of the Korean Society of Traumatology 2008;21(1):66-69.
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
Department of Emergency Medicine, DongGuk University International Hospital, Gyeonggi-do, Korea. smcer007@hanmail.net
두개저 골절과 동반된 외상성 양측성 외전신경 마비 1례
황정인·조진성·이승철·이정훈
동국대학교 일산병원 응급의학과
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.
Key Words: Bilateral traumatic abducens nerve palsy; Skull base fracture; Head trauma


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