• J Emerg Med · Sep 1987

    Case Reports

    Transient first-degree AV block and sixth nerve palsy in a patient with closed head injury.

    • D J Dire and R Patterson.
    • Department of Emergency Medicine, Darnall Army Community Hospital, Fort Hood, TX 76544-5603.
    • J Emerg Med. 1987 Sep 1; 5 (5): 393-7.

    AbstractWe present the case of an 8-year-old girl who suffered a closed head injury with the development of bilateral sixth-nerve palsies, and who was noted upon arrival to the emergency department to be in first-degree AV block. The sixth-nerve palsies and the first-degree AV block resolved simultaneously within 24 hours of injury. We discuss dysrhythmias and ECG changes previously reported with central nervous system diseases and their proposed etiology.

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