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Volume 354:1096 March 9, 2006 Number 10
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Traumatic Cranial Nerve Palsy

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 by Baker, C.
To the Editor: Baker and Cannon (Nov. 3 issue)1 describe a patient with left-sided ptosis and mydriasis after cranial trauma. The computed tomographic scan in Panel C of the image shows a bone fragment posteromedial to the dorsum sellae, suggesting a fracture of the anterior part of the petrous bone, rather than a lesion of the sella turcica, which is located more medially and cranially and would not be visible on the slice presented. A fracture of the anterior petrous bone may affect the third cranial (oculomotor) nerve as well as the eighth (acoustic) nerve. This matches perfectly with the . . . [Full Text of this Article]




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