Case Report
 
Bilateral abducens nerve palsy with papilledema following electrical injury: A case report
Yunita Mansyur1, Meiliaty A. Angky1, Batari T. Umar1
1Department of Ophthalmology, Faculty of Medicine, Hasanuddin University, Celebes Eye Center, Makassa

Article ID: 100004Z17YM2018
doi: 10.5348/100004Z17YM2018CR

Corresponding Author:
Yunita Mansyur
Department of Ophthalmology
Faculty of Medicine
Hasanuddin University, Celebes Eye Center, Makassar, Indonesia

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How to cite this article
Mansyur Y, Angky MA, Umar BT. Bilateral abducens nerve palsy with papilledema following electrical injury: A case report. J Case Rep Images Opthalmol 2018;1:100004Z17YM2018


ABSTRACT

Introduction: Abducens nerve is the cranial nerve most vulnerable to injury. Abducens nerve palsy were commonly found after head injury - about 1% to 2.7% of all head injuries but never been reported caused by electrical injury. This article reports a case of bilateral abducens nerve palsy with papilledema following electrical injury of a 63-year-old woman came with a history of electrical injury two weeks before. There was a history of unconsciousness for three days after injury with no evident of head trauma. Patient complaint double vision after gaining consciousness. Best-corrected visual acuities were 20/20 and 20/25. Eye examination revealed bilateral abducens nerve palsy and funduscopy showed papilledema in both eyes. Head Computed tomography (CT) scan taken one day after injury showed hematoma and cerebral contusion in the bilateral frontal area with subarachnoid hematoma. At six-month follow-up with conservative management, diplopia was fully recovered.

Conclusion: This case report highlights the occurrence of bilateral abducens nerve palsy following an electrical injury and conservative management showed good result in this case.

Keywords: Bilateral abducens nerve palsy, Electrical injury, Intracranial pressure, Papilledema


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Author Contributions
Yunita Mansyur – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Meiliaty A. Angky – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Batari T. Umar – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of Submission
The corresponding author is the guarantor of submission.
Source of Support
None
Consent Statement
Written informed consent was obtained from the patient for publication of this case report.
Conflict of Interest
Author declares no conflict of interest.
Copyright
© 2018 Yunita Mansyur et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.