Abducent nerve palsy as a rare sequela of temporal bone fracture: a case report

Lim, Walter Yung Chwen and Teh, Hui Mon and Rozhan, 'Atikah (2026) Abducent nerve palsy as a rare sequela of temporal bone fracture: a case report. Visual Journal of Emergency Medicine, 42 (1). pp. 1-4. E-ISSN 2405-4690

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Abstract

Temporal bone fractures can be classified into longitudinal, transverse, or mixed types based on their orientation relative to the long axis of the petrous part of the temporal bone. They can also be categorized as otic capsule-sparing or otic capsule-violating. These fractures commonly present with clinical features such as hearing loss, otorrhagia (ear bleeding), cerebrospinal fluid (CSF) otorrhea, balance disturbances, and facial asymmetry. Physical signs such as Battle's sign, hemotympanum, conductive hearing loss, and facial nerve palsy often indicate a temporal bone fracture.1 However, isolated abducens nerve (cranial nerve VI) palsy secondary to temporal bone fracture is extremely rare. A review of the literature revealed only two reported cases of isolated abducens nerve palsy associated with temporal bone fracture following head trauma.2,3 Most reported cases present with concomitant facial nerve involvement.

Item Type:	Article (Case Report)
Subjects:	R Medicine > RF Otorhinolaryngology
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine Kulliyyah of Medicine > Department of Otolaryngology - Head and Neck Surgery
Depositing User:	Dr Atikah Rozhan
Date Deposited:	23 Apr 2026 08:01
Last Modified:	23 Apr 2026 08:01
Queue Number:	2026-04-Q3002
URI:	http://irep.iium.edu.my/id/eprint/128557

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