Fourth and sixth cranial nerve injury after halo traction in children: A report of two cases

Pinches, Emma; Thompson, Dominic; Noordeen, Hilali; Liasis, Alki; Nischal, Ken K.

doi:10.1016/j.jaapos.2004.08.002

Cited by 23 publications

(7 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In the literature, bilateral sixth nerve palsy also can occur by increased intracranial pressure, dural puncture, whiplash injury, hangman's fracture and halo traction [2][3][4]10,16,19,24) . The mechanism for this bilateral palsy is controversial.…”

Section: Discussionmentioning

confidence: 99%

Delayed Bilateral Abducens Nerve Palsy after Head Trauma

Kim

Cho

Kim

2008

J Korean Neurosurg Soc

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Delayed Bilateral Abducens Nerve Palsy after Head Trauma

Kim

Cho

Kim

2008

J Korean Neurosurg Soc

View full text Add to dashboard Cite

“…The long and tenuous intracranial course of the trochlear nerve makes it highly susceptible to shearing force, caused by any form of surgical or nonsurgical trauma. 6 The fourth nerve palsies were unusual in both cases because neither patient had any vertical tropia or diplopia in primary position; nor was an abnormal head posture required to attain fusion. Both had hypertropia in opposite versions and downgaze that did not resolve and led to persistent diplopia.…”

Section: Discussionmentioning

confidence: 87%

Acquired isolated unilateral fourth nerve palsy after ventriculoperitoneal shunt surgery

Pandey

Dadeya

Amar

et al. 2008

Journal of American Association for Pediatric Ophthalmology and

View full text Add to dashboard Cite

“…Our patient suffered from right hemiparesis, left facial nerve palsy, and bilateral abducens nerves paralysis, which do not correspond to such a central injury. Bilateral abducens palsy after head trauma has been described after basilar fracture of the skull, after cervical injuries with or without cervical fracture [25], and after skull traction (in 2 children) [26]. Its long course from the brainstem to the eye makes the abducens nerve vulnerable to strain injury [27,28].…”

Section: Discussionmentioning

confidence: 99%

Trauma of the upper cervical spine: focus on vertical atlantoaxial dislocation

et al. 2013

View full text Add to dashboard Cite

Purpose Traumatic ligament injuries of the craniovertebral junction, either isolated or associated with bone avulsion or fracture, often lead to death. These injuries are rare and underrated but are increasingly seen in emergency departments due to the improvement in initial on-scene management of accidents. Vertical atlantoaxial dislocation (AAD) is a specific lesion that was barely reported. Based on our experience, our goal was to systematically investigate the prevalence and prognosis of traumatic vertical AAD and discuss its management. Methods All cervical CT scans performed at our institution between 2006 and 2010 for cervical trauma in adults were retrospectively reviewed. Based on the measurement of lateral mass index (LMI), defined as the gap between C1 and C2 articular facets, we identified three cases of traumatic vertical AAD in 300 CT scans. Their medical records were investigated.Results The incidence of vertical AAD was 1 % in the exposed population. One case was an isolated vertical AAD and two were associated with a type II odontoid fracture. We report the first case in the literature of unilateral vertical AAD. Two patients died rapidly; the survivor was treated with occipitocervical fixation. Specific maneuvers were used for immobilization and reduction. Conclusions This study found a not insignificant incidence of vertical AAD and a high lethality rate. LMI appears to be a relevant radiological criterion for this diagnosis, for which traction is contraindicated. Associated neurological or vascular damage should be suspected and investigated. In our experience, spinal surgical fixation is required because of major instability.

show abstract

Fourth and sixth cranial nerve injury after halo traction in children: A report of two cases

Cited by 23 publications

References 19 publications

Delayed Bilateral Abducens Nerve Palsy after Head Trauma

Delayed Bilateral Abducens Nerve Palsy after Head Trauma

Acquired isolated unilateral fourth nerve palsy after ventriculoperitoneal shunt surgery

Trauma of the upper cervical spine: focus on vertical atlantoaxial dislocation

Contact Info

Product

Resources

About