PMC3702690_01
Brain Computed Tomography showing no abnormality
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Computerized tomography (CT) images of the skull and parenchyma were normal (Figure 1).
After the accident photographs showing bilateral gaze palsy (A) primary position; (B) left gaze; (C) right gaze
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Neurologic examination revealed lateral gaze palsy of both eyes (Figures 2 and 3).
After 2 months of accident no recovery at bilateral sixth nerve palsy (A) primary position; (B) left gaze; (C) right gaze.
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Neurologic examination revealed lateral gaze palsy of both eyes (Figures 2 and 3).
Tongue deviation to left showing unilateral hypoglossal nerve palsy.
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The hypoglossal nerve was not initially evaluated because of stitches in her tongue.A follow-up neurologic examination revealed tongue deviation to the left side and CT imaging showed no newly developed abnormal lesions (Figure 4).
MRI showing contusion areas at parietal and occipital lobes.
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In her cranial magnetic resonance imaging (MRI) she had contusion areas in the parietal and occipital lobes (Figure 5).The MRI angiography result was normal (Figure 6).
Normal MR angiography
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In her cranial magnetic resonance imaging (MRI) she had contusion areas in the parietal and occipital lobes (Figure 5).The MRI angiography result was normal (Figure 6).
Full recovery of sixth nerve palsy.
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At 1-year follow-up, her sixth nerve palsy and hypoglossal nerve palsy was fully recovered (Figures 7 and 8).
Full recovery of hypoglossal nerve palsy.
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At 1-year follow-up, her sixth nerve palsy and hypoglossal nerve palsy was fully recovered (Figures 7 and 8).