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CC BY-NC-ND 4.0 · Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery 2019; 38(04): 315-318
DOI: 10.1055/s-0037-1603107
Case Report | Relato de Caso
Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

Abducens Nerve Palsy as Initial Manifestation of Chronic Subdural Hematoma: Case Report

Paralisia do nervo abducente como manifestação inicial de hematoma subdural crônico: Relato de caso
Marcelo José Silva Magalhães 
1   Department of Neurosurgery, Hospital Vila da Serra, Belo Horizonte, Brazil
2   Faculdades Unidas do Norte de Minas, Montes Claros, MG, Brazil
3   Faculdades Integradas Pitágoras, Montes Claros, MG, Brazil
,
Henrique Nunes Pereira Oliva
3   Faculdades Integradas Pitágoras, Montes Claros, MG, Brazil
,
Getúlio Paixão Pereira
3   Faculdades Integradas Pitágoras, Montes Claros, MG, Brazil
,
Lucas Gabriel Quadros Ramos
3   Faculdades Integradas Pitágoras, Montes Claros, MG, Brazil
,
Henrique Caires Souza Azevedo
3   Faculdades Integradas Pitágoras, Montes Claros, MG, Brazil
› Author Affiliations
Further Information

Publication History

26 February 2017

12 April 2017

Publication Date:
08 May 2017 (online)

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Abstract

Chronic subdural hematoma (CSDH) is a form of progressive intracranial hemorrhage, typically associated with cases of trauma. The manifestation of this comorbidity with abducens palsy is a rare finding. The present work aims to describe the case of an adult patient with abducens nerve palsy as a manifestation of CSDH. Chronic subdural hematoma is most commonly found in elderly patients, with systemic hypertension as a manifestation. The relation with the sixth cranial nerve is unusual and draws attention to the case reported. In addition, the prognosis is positive, since trepanation and drainage surgery was performed, as it is recommended in the literature.

Resumo

O hematoma subdural crônico (HSDC) é uma forma de hemorragia intracraniana de caráter progressivo, tipicamente associado a casos de traumatismo. A manifestação dessa comorbidade com paralisia do nervo craniano abducente é um achado raro. O presente trabalho visa descrever o caso de um paciente adulto com paralisia do nervo abducente como manifestação do HSDC. O HSDC é mais comumente encontrado em pacientes idosos, com manifestação de hipertensão arterial sistêmica. A relação com o sexto nervo craniano é incomum, e chama a atenção no caso relatado. Além disso, o prognóstico é positivo, uma vez que foi realizada cirurgia com trepanação e dreno, conforme recomendado na literatura.

Keywords

chronic subdural hematoma - abducens nerve palsy - cranioencephalic trauma

Palavras-chave

hematoma subdural crônico - paralisia do nervo abducente - traumatismo cranioencefálico
 

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