Annals of Emergency Medicine
Volume 41, Issue 1 , Pages 27-31 , January 2003

Bilateral sixth nerve palsy after head trauma

Received 6 June 2002 ,Revised 21 August 2002 ,Accepted 26 August 2002.

  • Image Result

    A, Looking straight; B, looking right; C, looking left.

    A, Looking straight; B, looking right; C, looking left.

  • Image Result

    Schematic diagram of the course of the sixth cranial nerve from the pons (A) to the lateral rectus muscle (F) . The nerve ascends over the petrous bone (D) and under Gruber’s ligament (E) as it passes

    Schematic diagram of the course of the sixth cranial nerve from the pons (A) to the lateral rectus muscle (F) . The nerve ascends over the petrous bone (D) and under Gruber’s ligament (E) as it passes through Dorello’s canal (C) . The nerve is tethered by dura before and after the canal (stars) . Injury to the peripheral nerve is thought to occur by contusion against the petrous ridge after midfrontal head impact. B, Posterior clinoidal process; G, globe.

☆ Address for reprints: Ranjiv Advani, MD, Department of Emergency Medicine, Maine Medical Center, 47 Bramhall Street, Portland, ME 04102.

PII: S0196-0644(02)84969-1

doi: 10.1067/mem.2003.46

Annals of Emergency Medicine
Volume 41, Issue 1 , Pages 27-31 , January 2003

Article Tools

* Image Usage & Resolution