A case of traumatic bilateral abducens and unilateral hypoglossal nerve palsy

一例创伤性双侧外展神经麻痹和单侧舌下神经麻痹

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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.

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