Brazilian Neurosurgery (May 2017)

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

  • Marcelo José Silva Magalhães,
  • Henrique Nunes Pereira Oliva,
  • Getúlio Paixão Pereira,
  • Lucas Gabriel Quadros Ramos,
  • Henrique Caires Souza Azevedo

DOI
https://doi.org/10.1055/s-0037-1603107
Journal volume & issue
Vol. 38, no. 04
pp. 315 – 318

Abstract

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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.

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