Clival Epidural Hematoma in Traumatic Sixth Cranial Nerve Palsies Combined with Cervical Injuries

被引:11
作者
Garton, Hugh J. [1 ]
Gebarski, Stephen S. [2 ]
Ahmad, Omar [2 ]
Trobe, Jonathan D. [1 ,3 ,4 ]
机构
[1] Univ Michigan, Med Ctr, Dept Neurosurg, Ann Arbor, MI USA
[2] Univ Michigan, Med Ctr, Dept Radiol Neuroradiol, Ann Arbor, MI USA
[3] Univ Michigan, Med Ctr, Dept Ophthalmol, Ann Arbor, MI 48109 USA
[4] Univ Michigan, Med Ctr, Dept Neurol, Ann Arbor, MI 48109 USA
关键词
RETROCLIVAL EXTRADURAL HEMATOMA; OF-THE-LITERATURE; ABDUCENS NERVE; OCCIPITOATLANTAL DISLOCATION; SPINE; FRACTURES; MECHANISM; CHILD;
D O I
10.1097/WNO.0b013e3181ce14ae
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Eight patients sustained a combination of clival epidural hematoma, traumatic sixth cranial nerve palsy (6 NP), and occipitocervical injury. This combination of features has been sparsely described. Whether the hematoma, which represents tectorial membrane injury, is merely a marker for 6 NP and occipitocervical injury or is causative is unresolved, but this imaging finding should alert examiners who note traumatic 6 NP to the need for detailed cervical imaging, as surgical stabilization of this region may be critical to prevent future spinal cord dysfunction.
引用
收藏
页码:18 / 25
页数:8
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