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Bilateral abducens paralysis revealing bipartite spheno-occipital synchondrosis fracture in a child: case based
Benjamin Nicot1, Johann Peltier, Cyrille Capel
1Department of Neurosurgery, Amiens University Hospital, 80054 Amiens cedex 1, France. benicot9@hotmail.com
Background:
After reviewing the literature about sella turcica and spheno-occipital synchondrosis fracture, we present the case of a 6-year-old girl who suffered complex sphenoid bone fracture produced by an indirect mechanism.
Methods:
The girl fell from her height after a blunt head injury due to a falling lamppost.
Results:
Computer tomography (CT) scan showed occipital, sellar and clival fractures with pneumatocephalus. The probable fracture mechanism is contre-coup injury linked to osseous and brain oscillations after head trauma.
Conclusion:
Two complications, abducens nerve palsy and cerebrospinal fluid fistula, are observed and discussed.
