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Isolated abducens nerve palsy after closed head injury in a child

Ioannis Asproudis1, Eleni Vourda1, Paraskevas Zafeiropoulos1

  • 1Department of Ophthalmology, University of Ioannina, 45500 Ioannina, Epirus, Greece.

Oman Journal of Ophthalmology
|February 24, 2016
PubMed

Insights

A rare case of isolated abducens nerve palsy in a child after head injury showed improvement with eye patching. This treatment aided recovery from the sixth nerve palsy, offering hope for similar pediatric cases.

Area of Science:

  • Ophthalmology
  • Pediatric Neurology

Background:

  • Abducens nerve palsy (sixth nerve palsy) is a common cause of acquired strabismus in children.
  • Isolated abducens nerve palsy following minor head trauma is rare.

Observation:

  • A 5-year-old child presented with isolated right abducens nerve palsy after a minor closed head injury.
  • The child underwent daily 4-hour occlusion of the left eye under close ophthalmological supervision.

Findings:

  • Significant improvement in the abducens nerve palsy was observed within 6 months of treatment.
  • The eye patching therapy demonstrated positive outcomes in this pediatric case.

Implications:

  • This case highlights a potential conservative management strategy for isolated abducens nerve palsy in children post-head injury.
  • Early intervention with eye patching may lead to favorable visual recovery in pediatric sixth nerve palsy.

Keywords:
Abducens palsycranial nerve palsyhead trauma

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