scholarly journals Delayed onset sequential bilateral abducens nerve palsies secondary to traumatic CSF leak

2022 ◽  
pp. 100602
Author(s):  
Kavya Koshy ◽  
Marc Schnekenburger ◽  
Richard Stark ◽  
Mark Fitzgerald
Keyword(s):  
Abducens Nerve ◽  
Csf Leak ◽  
Delayed Onset ◽  
Bilateral Abducens

scholarly journals Primary clivus diffuse large B cell lymphoma presenting with posterior neck pain and bilateral abducens nerve palsy

2012 ◽  
Vol 52 (4) ◽  
pp. 245-250 ◽  
Author(s):  
Akira Yokote ◽  
Yoshio Tsuboi ◽  
Kousuke Fukuhara ◽  
Jun Tsugawa ◽  
Hirosato Inoue ◽  
...  
Keyword(s):  
Neck Pain ◽  
B Cell ◽  
Nerve Palsy ◽  
Cell Lymphoma ◽  
B Cell Lymphoma ◽  
Abducens Nerve ◽  
Large B Cell Lymphoma ◽  
Posterior Neck ◽  
Bilateral Abducens ◽  
Large B Cell

Transclival Approach for Resection of a Pontine Cavernous Malformation: 2-Dimensional Operative Video

2020 ◽  
Vol 19 (4) ◽  
pp. E413-E413
Author(s):  
Dennis London ◽  
Seth Lieberman ◽  
Omar Tanweer ◽  
Donato Pacione
Keyword(s):  
Cavernous Malformation ◽  
Case Reports ◽  
Abducens Nerve ◽  
Petrous Bone ◽  
Fat Graft ◽  
Csf Leak ◽  
Endoscopic Endonasal ◽  
Cavernous Malformations ◽  
Lumbar Drain ◽  
Magnetic Resonance Imaging Mri

Abstract Cerebral cavernous malformations are common vascular anomalies consisting of a cluster of capillaries without intervening brain tissue.1 A variety of approaches for resection have been undertaken,2 and a handful of case reports have described the endoscopic, endonasal, transclival approach.3 We present a case of a 51-yr-old woman with lupus and hepatitis B-associated cirrhosis who presented with diplopia, dysphagia, and ataxia. She had a left abducens nerve palsy and magnetic resonance imaging (MRI) showed a left pontine cavernous malformation. After a repeat hemorrhage, she consented to surgical resection. The lesion appeared to come to the medial pontine pial surface. Tractography indicated a rightward displacement of the left corticospinal tract. Therefore, an endoscopic, transnasal, transclival approach was chosen. A lumbar drain was placed preoperatively. The clivus and ventral petrous bone were drilled using the vidian canal to help identify the anterior genu of the petrous carotid artery. The clival dura was opened, revealing the abducens nerve exiting the ventral pons. The cavernoma was visible on the surface lateral to the nerve. It was removed using blunt dissection and the remaining cavity inspected. The skull base was reconstructed using an abdominal dermal-fat graft and Alloderm covered by a nasoseptal flap. Postoperatively she had transient swallowing difficulty. The lumbar drain was kept open for 5 d. Cerebrospinal fluid (CSF) leak was ruled out using an intrathecal fluorescein injection. She was discharged home, but presented 2 wk postoperatively with aseptic meningitis, which was treated supportively. Postoperative imaging did not show residual cavernoma.

scholarly journals Delayed-onset bilateral abducens paresis after head trauma

2012 ◽  
Vol 60 (2) ◽  
pp. 149 ◽  
Author(s):  
Pravin Salunke ◽  
Amey Savardekar ◽  
Sukumar Sura
Keyword(s):  
Head Trauma ◽  
Delayed Onset ◽  
Bilateral Abducens

scholarly journals Delayed Bilateral Abducens Nerve Palsy after Head Trauma

2008 ◽  
Vol 44 (6) ◽  
pp. 396 ◽  
Author(s):  
Min-Su Kim ◽  
Min-Soo Cho ◽  
Seong-Ho Kim
Keyword(s):  
Head Trauma ◽  
Nerve Palsy ◽  
Abducens Nerve ◽  
Abducens Nerve Palsy ◽  
Bilateral Abducens

scholarly journals Bilateral abducens nerve palsy due to septic thrombophlebitis

2019 ◽  
Vol 16 ◽  
pp. 100566 ◽  
Author(s):  
Vincent N. Vu ◽  
Peter J. Savino ◽  
Shira L. Robbins
Keyword(s):  
Nerve Palsy ◽  
Abducens Nerve ◽  
Abducens Nerve Palsy ◽  
Septic Thrombophlebitis ◽  
Bilateral Abducens

scholarly journals A rare case of post traumatic isolated bilateral abducens nerve palsy

2014 ◽  
Vol 21 (4) ◽  
pp. 497-499
Author(s):  
Manish Jaiswal ◽  
Saurabh Jain ◽  
Ashok Gandhi ◽  
Achal Sharma ◽  
R.S. Mittal
Keyword(s):  
Rare Case ◽  
Nerve Palsy ◽  
Abducens Nerve ◽  
Abducens Nerve Palsy ◽  
Resonance Imaging ◽  
Intracranial Lesion ◽  
Mri Brain ◽  
Post Traumatic ◽  
Magnetic Resonance Imaging Mri ◽  
Bilateral Abducens

Abstract Although unilateral abducens nerve palsy has been reported to be as high as 1% to 2.7% of traumatic brain injury, bilateral abducens nerve palsy following injury is extremely rare. In this report, we present the case of a patient who developed isolated bilateral abducens nerve palsy following minor head injury. He had a Glasgow Coma Score (GCS) of 15 points. Computed tomography (CT) images & Magnetic Resonance Imaging (MRI) brain demonstrated no intracranial lesion. Herein, we discuss the possible mechanisms of bilateral abducens nerve palsy and its management.

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