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Indian Journal of Neurotrauma 2012; 09(02): 129-132
DOI: 10.1016/j.ijnt.2012.11.003
Case Report
Thieme Medical and Scientific Publishers Private Ltd.

Multiple cranial nerve palsies after head injury. A case report

Pranshu Bhargava
a   Assistant Professor, Department of Neurosurgery, Christian Medical College, Ludhiana 141008, Punjab, India
,
Bharat Gupta
b   Neurosurgery Resident, Department of Neurosurgery, Christian Medical College, Ludhiana 141008, Punjab, India
,
Sarvpreet Grewal
c   Professor and Head, Department of Neurosurgery, Christian Medical College, Ludhiana 141008, Punjab, India
,
Vikas Jain
b   Neurosurgery Resident, Department of Neurosurgery, Christian Medical College, Ludhiana 141008, Punjab, India
,
Punit Gupta
b   Neurosurgery Resident, Department of Neurosurgery, Christian Medical College, Ludhiana 141008, Punjab, India
,
Sukhdeep Jhawar
a   Assistant Professor, Department of Neurosurgery, Christian Medical College, Ludhiana 141008, Punjab, India
,
Harman Sobti
b   Neurosurgery Resident, Department of Neurosurgery, Christian Medical College, Ludhiana 141008, Punjab, India
› Author Affiliations
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Further Information

Publication History

09 June 2012

13 November 2012

Publication Date:
06 April 2017 (online)

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Abstract

Injuries to the third fourth, sixth and seventh cranial nerves are common after head injury and may be missed during the initial assessment. Bilateral palsies of the third fourth and sixth nerves are also rare. We report a case of a 16-year-old male having bilateral third (partial), bilateral fourth, bilateral sixth and right lower motor neuron (LMN) facial nerve palsy after severe head injury. The only ocular movement patient was able to perform was adduction of the left eye. His CT scan revealed pneumocephalus (frontal and around the brain stem) and a midbrain contusion. He was managed conservatively. These palsies gradually improved over two years.

Keywords

Head injury - Cranial nerve palsy - Multiple
 

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