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. 2013 Jul 3:14:230-4.
doi: 10.12659/AJCR.889065. Print 2013.

A case of traumatic bilateral abducens and unilateral hypoglossal nerve palsy

Ferda Selçuk  1 , Senem E Mut
Affiliations

A case of traumatic bilateral abducens and unilateral hypoglossal nerve palsy

Ferda Selçuk et al. Am J Case Rep. .

Abstract

Patient: Female, 47 FINAL DIAGNOSIS: Traumatic bilateral abducens • unilateral hypoglossal nerve palsy

Symptoms: Diplopia Medication: - Clinical Procedure: - Specialty: Neurology Objective: Rare disease.

Background: Incidence of unilateral abducens palsy from head trauma has been reported to be as high as 1% to 2.7%, but bilateral abducens nerve palsy is extremely rare.

Case report: We present a case in which bilateral abducens nerve and unilateral hypoglossal nerve palsy developed with a high Glasgow Coma Score (GCS) 3 hours after head trauma due to a motor vehicle crash.

Conclusions: This case highlights the occurrence and management of posttraumatic bilateral sixth nerve palsy.

Keywords: abducens nerve injury; hypoglossal nerve injury; trauma.

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Figures

Figure 1
Figure 1
Brain Computed Tomography showing no abnormality
Figure 2
Figure 2
After the accident photographs showing bilateral gaze palsy (A) primary position; (B) left gaze; (C) right gaze
Figure 3
Figure 3
After 2 months of accident no recovery at bilateral sixth nerve palsy (A) primary position; (B) left gaze; (C) right gaze.
Figure 4
Figure 4
Tongue deviation to left showing unilateral hypoglossal nerve palsy.
Figure 5
Figure 5
MRI showing contusion areas at parietal and occipital lobes.
Figure 6
Figure 6
Normal MR angiography
Figure 7
Figure 7
Full recovery of sixth nerve palsy.
Figure 8
Figure 8
Full recovery of hypoglossal nerve palsy.
See this image and copyright information in PMC

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