Journals / Gülhane Tıp Dergisi / 2012 / Cilt: 54 - Sayı: 2

Abducens nerve paralysis following spinal anesthesia: A case report

Spinal anestezi sonrasında abdusens sinir paralizisi: Olgu sunumu

Pages
175–177
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In this report a case of sixth cranial nevre palsy developing after spinal anesthesia and resolving spontaneously after a follow up period of 9 weeks is presented, and management of this very rare complication is reviewed.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Paralysis of cranial nerves is a very rare complication of lumbar puncture performed for anesthetic and diagnostic purposes, however sixth cranial nevre is most commonly affected because of its long intracranial course.
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Key Findings & Data:Paralysis of cranial nerves is a very rare complication of lumbar puncture performed for anesthetic and diagnostic purposes, however sixth cranial nevre is most commonly affected because of its long intracranial course.
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Conclusion & Impact:In this report a case of sixth cranial nevre palsy developing after spinal anesthesia and resolving spontaneously after a follow up period of 9 weeks is presented, and management of this very rare complication is reviewed.
🔬Design:Review & Systematic Survey
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Paralysis of cranial nerves is a very rare complication of lumbar puncture performed for anesthetic and diagnostic purposes, however sixth cranial nevre is most commonly affected because of its long intracranial course. In this report a case of sixth cranial nevre palsy developing after spinal anesthesia and resolving spontaneously after a follow up period of 9 weeks is presented, and management of this very rare complication is reviewed.

Özet

Kraniyal sinirlerin paralizisi, anestezi ve tanı amaçlı uygulanan lomber ponksiyon sonrasında çok nadir görülen bir komplikasyondur, ancak 6. kraniyal sinir uzun kafa içi seyir trasesinden dolayı daha sık etkilenmektedir. Bu yazıda spinal anestezi sonrası ortaya çıkan ve 9 haftalık takip süresi sonunda kendiliğinden düzelen 6. kraniyal sinir paralizili bir olgu sunulmuş ve bu çok nadir görülen komplikasyona yaklaşım gözden geçirilmiştir.

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Cite This Article

İNCE, M., İNCE, L., ÖZBEK, S. (2012). Abducens nerve paralysis following spinal anesthesia: A case report. Gülhane Tıp Dergisi, Cilt: 54 - Sayı: 2, 175–177. https://ajindex.com/articles/226112

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References (13)

  1. Niedermuller U, Trinka E, Bauer G. Abducens palsy after lumbar puncture. Clin Neurol Neurosurg 2002; 104: 61-63
  2. Vakharia SB, Thomas PS, Rosenbaum AE, Wasenko JJ, Fellows DG. Magnetic resonance imaging of cerebrospinal fluid leak and tamponade effect of blood patch in postdural puncture headache. Anesth Analg 1997; 84: 585-590
  3. Thomke F, Mika-Gruttner A, Visbeck A, Bruhl K. The risk of abducens palsy after diagnostic lumbar puncture. Neurology 2000; 54: 768-769
  4. Szokol JW, Falleroni MJ. Lack of efficacy of an epidural blood patch in treating abducens nerve palsy after unintentional dura puncture. Reg Anesth Pain Med 1999; 24: 470-472
  5. Richer S, Ritacca D. Sixth nerve palsy after lumbar anesthesia. Optom Vis Sci 1989; 66: 320-321
  6. Moster ML, Savino PJ, Sergott RC, Bosley TM, Schatz NJ. Isolated sixth-nerve palsies in younger adults. Arch Ophthalmol 1984; 102: 1328-1330
  7. Follens I, Godts D, Evens PA, Tassignon MJ. Combined fourth and sixth cranial nerve palsy after lumbar puncture: a rare complication. A case report. Bull Soc Belge Ophthalmol 2001; 281: 29-33
  8. Köse KC, Cebesoy O, Karadeniz E, Bilgin S. Eye problem following foot surgery - abdusens palsy as a complication of spinal anesthesia. Med Gen Med 2005; 7: 15
  9. Pannullo SC, Reich JB, Krol G, Deck MD, Posner JB. MRI changes in intracranial hypotension. Neurology 1993; 43: 919-926
  10. Espinosa JA, Giroux M, Johnston K, Kirkham T, Villemure JG. Abducens palsy following shunting for hydrocephalus. Can J Neurol Sci 1993; 20: 123-125
  11. Barsoum WK, Mayerson J, Bell GR. Cranial nerve palsy as a complication of operative traction. Spine 1999; 24: 585-586
  12. Evans RW, Armon C, Frohman EM, Goodin DS. Assessment: prevention of post-lumbar puncture headaches: report of the therapeutics and technology assessment subcommittee of the American Academy of Neurology. Neurology 2000; 55: 909-914
  13. Lay CM. Low cerebrospinal fluid pressure headache. Curr Treat Options Neurol 2002; 4: 357-363.