A case of bilateral lower cranial nerve palsies after base of skull trauma with complex management issues: case report and review of the literature.

Introduction: Fractures of the skull base can cause lower cranial nerve palsies because of involvement of the nerves as they traverse the skull. A variety of syndromes have been described, often involving multiple nerves. These are most commonly unilateral, and only a handful of cases of bilateral cranial nerve involvement have been reported.