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

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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