Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Bilateral sixth nerve palsy after head trauma.

Ranjiv M Advani1, Michael R Baumann

  • 1Department of Emergency Medicine, Maine Medical Center, Portland, ME 04102, USA.

Annals of Emergency Medicine
|January 7, 2003
PubMed
Summary

Traumatic bilateral sixth cranial nerve palsy is rare after head injury. This case highlights a unique presentation without associated intracranial or spinal trauma, emphasizing the need for emergency physicians to consider this diagnosis.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Emergency Department-Initiated Buprenorphine for Opioid Use Disorder: A Randomized Clinical Trial.

JAMA·2026
Same author

Pathways between Adverse Change in Employment and Alcohol Use among U.S. Women during a Global Pandemic: The Moderating Role of Conformity to Masculine Norms.

Substance use & misuse·2023
Same author

Thinking about drinking: Acculturation and alcohol-related cognitions among college-bound Latinas.

Journal of American college health : J of ACH·2022
Same author

Domains matter: A prospective investigation of traditional feminine gender roles and alcohol use among Latinas.

Journal of ethnicity in substance abuse·2021
Same author

Understanding ED Buprenorphine Initiation for Opioid Use Disorder: A Guide for Emergency Nurses.

Journal of emergency nursing·2021
Same author

An example of medical device-based projection of clinical trial enrollment: Use of electrocardiographic data to identify candidates for a trial in acute coronary syndromes.

Journal of clinical and translational science·2019

Area of Science:

  • Neuroscience
  • Ophthalmology
  • Trauma Surgery

Background:

  • Gaze deficits commonly occur after head trauma, potentially involving the central nervous system, peripheral nerves, or motor units.
  • Bilateral sixth cranial nerve palsy (CN VI palsy) following trauma is exceptionally rare.
  • Such injuries are often linked to severe associated trauma, including intracranial, skull, and cervical spine damage.

Observation:

  • A 44-year-old male presented with complete bilateral sixth nerve palsy post-trauma.
  • The patient had no intracranial lesions, skull fractures, or cervical spine injuries.
  • No altered level of consciousness was noted in the patient.

Findings:

  • The case presents a unique instance of traumatic bilateral CN VI palsy without concurrent severe injuries.

Related Experiment Videos

  • This presentation challenges the typical association of such palsies with significant associated trauma.
  • Diagnostic imaging revealed no intracranial pathology or fractures.

    • Implications:

    • Emergency physicians must maintain a broad differential diagnosis for gaze deficits after head trauma.
    • Prompt recognition and workup are crucial for identifying rare but significant neurological injuries.
    • Understanding the spectrum of injuries associated with traumatic gaze deficits improves patient management and outcomes.