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Journal of Korean Neurosurgical Society 2002;31(2): 188-191.
Bilateral Traumatic Abducens Nerve Palsy Associated with Hangman's Fracture: Case Report.
Jun Gyu Oh, Seung Jin Lee, Eun Kyung Kim, Byung Gwan Moon, Hee In Kang, Joo Seung Kim
1Department of Neurosurgery, Nowon Eulji General Hospital, Eulji College of Medicine, Seoul, Korea.
2Department of Pathology, Nowon Eulji General Hospital, Eulji College of Medicine, Seoul, Korea.
ABSTRACT
Bilateral traumatic abducens nerve palsy is a rare condition. We report a case associated with Hangman's fracture without skull fracture. Seventeen cases of bilateral traumatic nerve palsy were found in the literature and only four cases had bilateral traumatic abducens nerve palsy associated with cervical spine fracture without skull fracture. In case of head and neck injury, the abducens nerve may be damaged at the point of fixation to the dura mater. The pathogenesis, the clinical conditions and the radiological findings are presented.
Key Words: Bilateral traumatic abducens nerve palsy; Cervical spine fracture
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