Kafa travmasından sonra gelişen bilateral abdusens ve sağ fasiyal sinir paralizisi

Year 2016, Volume: 6 Issue: 2, 110 - 113, 19.10.2016

İsmail Boyraz Bünyamin Koç Hakan Sarman Mansur Kürşad Erkuran

https://doi.org/10.16899/ctd.51049

Abstract

Nervus abdusens lezyonu yaralanmaya eğilimi nadir olup genelde aniden gelişen kafa travmasından sonra meydana gelmektedir. 11.01.2014 tarihinde iş kazasına bağlı yüksekten düşme hikayesi olan 43 yaşında bir hasta sunduk. Kraniyal tomografisinde bilateral epidural hematom saptanmıştı. Epidural hematom cerrahi olarak boşaltıldı. Cerrahiden sonraki göz muayenesinde bilateral lateral bakış kısıtlılığı dışında görme kaybı saptanmadı. Diplopi nedeniyle hasta yürüyemeyince hastaya tek gözünü kapatması tavsiye edildi. Sağ yüzünde santral fasiyal sinir ve bilateral abdusens sinir paralizisi bulguları vardı. Kafa travmasından sonra birden fazla kraniyal sinir hasarı olabilir. Bu yüzden tüm kraniyal sinir muayeneleri ayrıntılı biçimde yapılmalıdır

Keywords

kraniyal sinir, abdusens paralizi, fasiyal paralizi

Bilateral abducens nerve and right facial nerve palsy occuring after head trauma

Abstract

Lesions of the nervus abducens, the 6th cranial nerve tend to be rare, usually occur suddenly following head injuries. A 43-year-old male patient presented with a history of fall from a height due to an occupational accident on the date of 11.01.2014. Cranial tomography demonstrated bilateral epidural hematoma. The epidural hematoma was drained during the operation. After the surgery, eye examination showed no vision loss, except limited bilateral lateral gaze. When the patient was unable to walk due to diplopia, he was advised to close one eye. On the right side, there were findings suggesting central facial paralysis. There may be multiple cranial nerve damage following head injury. Therefore, all cranial nerves should be thoroughly examined.

Keywords

cranial nerve, abducens palsy, fascial paralysis

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