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KMID : 0360720080210010066
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Journal of the Korean Society Traumatology
2008 Volume.21 No. 1 p.66 ~ p.69
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A Case of Traumatic Bilateral Abducens Nerve Palsy Associated with Skull Base Fracture
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Hwang Jeong-In
Cho Jin-Seong
Lee Seung-Chul
Lee Jeong-Hun
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Abstract
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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.
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KEYWORD
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Bilateral traumatic abducens nerve palsy, Skull base fracture, Head trauma
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