Journal of Clinical Otolaryngology Head and Neck Surgery
The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery
증례

추체골염을 동반하지 않는 급성 유양돌기염에 의한 외전신경마비 1예

정태영1, 김영호1, 권재환1,*
Tae Young Jung1, Young Ho Kim1, Jae Hwan Kwon1,*
1메리놀병원 이비인후과
1Department of Otolaryngology-Head and Neck Surgery, Markynoll General Hospital, Busan, Korea
*교신저자: 권재환, 600-703 부산광역시 중구 대청동 4가 12 메리놀병원 이비인후과 전화: (051) 461-2205·전송: (051) 461-0297 E-mail: hands-jung@hanmail.net

© Copyright 2010 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Feb 01, 2010; Revised: Feb 22, 2010; Accepted: Mar 26, 2010

Published Online: May 31, 2020

ABSTRACT

A 29-month-old boy presented with acute onset of esodeviation and limitation of ocular movement in his right eye. He had a history of right otitis media for 6 weeks, was diagnosed as abducens nerve palsy. Ventilation tube insertion was done after the eye symptom developed. At first day after surgery, esotropia of 30 prism diopters (PD) and abduction limitation (-4) was still obseved in the right eye due to abducens nerve palsy of the right side. A computed tomography of the temporal bone and magnetic resonance imaging of the brain showed severe mastoiditis without involvement of the abducens nerve pathway including petrous bone. At 6 days after onset of esotropia, simple mastoidectomy was done. An esotropia was improved gradually and at 4 months after surgery, orthotropia and normal ocular movement were acquired. We report a rare case of abducens nerve palsy presumed to be complicated by septic thrombosis of inferior petrosal sinus from mastoiditis without petrous apicitis. (J Clinical Otolaryngol 2010;21:74-78)

Keywords: 외전신경마비; 유양돌기염
Keywords: Abducens nerve palsy; Mastoiditis;