Abstract

RUIZ-DE-RIO, N. et al. Bilateral sixth nerve and left third nerve palsy after head trauma . Arch Soc Esp Oftalmol [online]. 2006, vol.81, n.1, pp.41-44. ISSN 0365-6691.

Case report: To describe a case of combined bilateral cranial nerve palsy of traumatic origin. To determine the lesions that produce the symptoms is useful to define the final prognosis and the best treatment. Discussion: We report the case of a patient who developed a bilateral sixth nerve and left third nerve palsy after head trauma. The underlying lesion was a diffuse axonal injury. After an observation period during which no spontaneous improvement occurred, we administered botulinum toxin with a successful clinical result. Bilateral combined traumatic cranial nerve palsies are rare. When a diffuse axonal injury is present, the chance of spontaneous resolution is poor.

Keywords : Oculomotor palsy; sixth nerve palsy; third nerve palsy; head trauma; diffuse axonal injury.

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