Introduction: Abducens nerve is the cranial nerve most vulnerable to injury. Abducens nerve palsy were commonly found after head injury - about 1% to 2.7% of all head injuries but never been reported caused by electrical injury. This article reports a case of bilateral abducens nerve palsy with papilledema following electrical injury of a 63-year-old woman came with a history of electrical injury two weeks before. There was a history of unconsciousness for three days after injury with no evident of head trauma. Patient complaint double vision after gaining consciousness. Best-corrected visual acuities were 20/20 and 20/25. Eye examination revealed bilateral abducens nerve palsy and funduscopy showed papilledema in both eyes. Head Computed tomography (CT) scan taken one day after injury showed hematoma and cerebral contusion in the bilateral frontal area with subarachnoid hematoma. At six-month follow-up with conservative management, diplopia was fully recovered.

Conclusion: This case report highlights the occurrence of bilateral abducens nerve palsy following an electrical injury and conservative management showed good result in this case.

Keywords: Bilateral abducens nerve palsy, Electrical injury, Intracranial pressure, Papilledema