An Unusual Presentation for 6th Nerve Palsy: Isolated Chronic Sphenoid Sinusutis and Bilateral Abducens Palsy

10.5580/120d ◽  
2007 ◽  
Vol 6 (1) ◽  
Keyword(s):  
Nerve Palsy ◽  
Unusual Presentation ◽  
Abducens Palsy ◽  
Bilateral Abducens Palsy ◽  
Bilateral Abducens

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

2021 ◽  
Vol 12 (10) ◽  
pp. 164-170
Author(s):  
Sandeep B V ◽  
Rekha K R ◽  
Manpreet Singh Banga ◽  
Anantha Kishan ◽  
Vittal I Nayak ◽  
...  
Keyword(s):  
Head Injury ◽  
Nerve Injury ◽  
Nerve Palsy ◽  
Closed Head Injury ◽  
Abducens Nerve ◽  
Nerve Injuries ◽  
Abducens Palsy ◽  
Closed Head ◽  
Bilateral Abducens Palsy ◽  
Bilateral Abducens

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.

scholarly journals Teaching NeuroImages: Seeing double: Intercavernous sinus dural arteriovenous fistula causing bilateral abducens palsy

Neurology ◽  
2012 ◽  
Vol 78 (15) ◽  
pp. e95-e96 ◽  
Author(s):  
J. F. Huang ◽  
M. Toledano ◽  
B. S. Katz ◽  
G. Lanzino ◽  
B. D. Moseley
Keyword(s):  
Arteriovenous Fistula ◽  
Dural Arteriovenous Fistula ◽  
Abducens Palsy ◽  
Bilateral Abducens Palsy ◽  
Bilateral Abducens

scholarly journals Carotid-Cavernous Fistula Presenting With Bilateral Abducens Palsy

Stroke ◽  
2020 ◽  
Vol 51 (6) ◽  
Author(s):  
Teng J. Peng ◽  
Christoph Stretz ◽  
Razaz Mageid ◽  
Brian Mac Grory ◽  
Shadi Yaghi ◽  
...  
Keyword(s):  
Abducens Palsy ◽  
Carotid Cavernous Fistula ◽  
Cavernous Fistula ◽  
Bilateral Abducens Palsy ◽  
Bilateral Abducens

Bilateral abducens palsy in a case of cytomegalovirus-associated Guillain–Barré syndrome

2011 ◽  
Vol 32 (6) ◽  
pp. 1219-1222 ◽  
Author(s):  
Masahiko Kishi ◽  
Ryuji Sakakibara ◽  
Emina Ogawa ◽  
Fuyuki Tateno ◽  
Osamu Takahashi ◽  
...  
Keyword(s):  
Guillain Barre Syndrome ◽  
Abducens Palsy ◽  
Guillain Barré Syndrome ◽  
Guillain Barré ◽  
Bilateral Abducens Palsy ◽  
Bilateral Abducens

scholarly journals Isolated Bilateral Abducens Palsy as a Presenting Feature of Multi-Infarct State: A Case Report

Cureus ◽  
2022 ◽  
Author(s):  
Saurabh Kumar ◽  
Bharat Seju ◽  
Durga Shankar Meena ◽  
Arjun Kachawaha ◽  
Maya Gopalakrishanan
Keyword(s):  
Case Report ◽  
Abducens Palsy ◽  
Bilateral Abducens Palsy ◽  
Bilateral Abducens

Bilateral traumatic abducens palsy

1971 ◽  
Vol 34 (1) ◽  
pp. 33-37 ◽  
Author(s):  
Richard C. Schneider ◽  
Frank D. Johnson
Keyword(s):  
Cervical Spine ◽  
Abducens Nerve ◽  
Abducens Palsy ◽  
Content Type ◽  
Associated Injury ◽  
Posterior Direction ◽  
Bilateral Abducens Palsy ◽  
Bilateral Abducens ◽  
Fine Print

✓ Two patients with bilateral abducens palsy are presented. A study of the associated injury to the cervical spine suggests that a severe blow to the head in an upward and posterior direction may produce contusion or avulsion of the abducens nerve by the rigid petrosphenoidal ligament under which it passes.

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