Ocular Control of the Environment following High Cervical Cord Fractures and Bilateral Sixth Nerve Palsy: A Case Report

Abstract

There is very little in the literature concerning bilateral sixth nerve palsies following high cervical cord injuries in children. With the advent of emergency medical services and rapid resuscitation of accident victims, these children are more frequently surviving to reach medical facilities. With the increase in survival rate, the finding of bilateral sixth nervy palsies is not uncommon. Since many of these children will depend on eye movement for communication, the involvement of the ophthalmic team is crucial to provide the child with the best possible quality of life.

• cranial nerve palsy
• rehabilitation
• esotropia
• VI^th nerve palsy