Bilateral abducens nerve and right facial nerve palsy occuring after head trauma

2016-04-05T00-57-04Z
Source: Journal of Contemporary Medicine
İsmail Boyraz, Bünyamin Koç, Hakan Sarman, Mansur Kürşad Erkuran.
Lesions of the nervus abducens, the 6th cranial nerve tend to be rare, usually occur suddenly following head injuries. A 43-year-old male patient presented with a history of fall from a height due to an occupational accident on the date of 11.01.2014. Cranial tomography demonstrated bilateral epidural hematoma. The epidural hematoma was drained during the operation. After the surgery, eye examination showed no vision loss, except limited bilateral lateral gaze. When the patient was unable to walk due to diplopia, he was advised to close one eye. On the right side, there were findings suggesting central facial paralysis. There may be multiple cranial nerve damage following head injury. Therefore, all cranial nerves should be thoroughly examined.


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