Delayed-onset bilateral abducens paresis after head trauma.

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Delayed-onset bilateral abducens paresis after head trauma.

Indian J Ophthalmol. 2012 Mar-Apr;60(2):149-50

Authors: Salunke P, Savardekar A, Sura S

Abstract Bilateral sixth nerve paresis following closed head injury, though rare, is a known entity. However, delayed-onset post-traumatic bilateral abducens paresis is extremely rare. We present two cases. The first patient had onset of bilateral abducens paresis 2 weeks after closed head injury and the second patient after 3 days. The cause in the former was detected to be chronic subdural hematoma and in the latter is speculated to be edema/ischemia due to injury to soft tissue structures housing these nerves. The delayed onset of bilateral abducens paresis following head injury may vary according to the cause. There may be another mechanism of injury apart from direct trauma. Though rare, it needs to be evaluated and may have a treatable cause like elevated intracranial pressure.

PMID: 22446916 [PubMed - in process]

Clinical features of Post traumatic Subperiosteal Hematoma

Clinical features and management of posttraumatic subperiosteal hematoma of the orbit. Indian J Ophthalmol. 2011 Jan-Feb;59(1):55-8 Authors: Kim UR, Arora V, Shah AD, Solanki U Traumatic subperiosteal hematoma (SpH) usually presents late, after the initial trauma. It is generally seen in young males. Computed tomography is the best mode of imaging and helps to rule out orbital fracture or associated subdural hematoma. We present the clinical features and management of four patients seen at the orbit clinic with SpH. Management is based on time of presentation, visual acuity and any communicating bleed. The prognosis of traumatic SpH is excellent if treated with an individualized patient approach. PMID: 21157076 [PubMed - indexed for MEDLINE]