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J Korean Soc Traumatol. 2008 Jun;21(1):66-69. Korean. Case Report.
Hwang JI , Cho JS , Lee SC , Lee JH .
Department of Emergency Medicine, DongGuk University International Hospital, Gyeonggi-do, Korea.

Traumatic bilateral abducens nerve palsy is rare and is associated with intracranial, skull and cervical spine injuries. We report a case of bilateral abducens nerve palsy in a 40-month-old patient with a skull base fracture. The injury mechanism was associated with direct nerve injury caused by a right petrous bone fracture and indirect injury by frontal impact on the abducens nerve at the point of fixation to the petrous portion and Dorello`s canal. The emergency physician should be aware of injuries and the mechanism of abducens nerve palsy in head trauma.

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