Bilateral sixth cranial nerve palsy after unintentional dural puncture
| Autor: | Daniel Boudreault, Philippe Chouinard, Geneviève Arcand, Michael McCormack, Stephan R. Williams, François Girard |
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| Rok vydání: | 2004 |
| Předmět: |
Adult
Anesthesia Epidural medicine.medical_specialty Nerve palsy Anesthesia General Sixth nerve palsy Postoperative Complications Anesthesiology medicine Diplopia Humans Androstanols Anesthetics Local Urinary Bladder Neurogenic Intracranial Hypotension Propofol Monocular occlusion Epidural blood patch Medical Errors business.industry Headache General Medicine medicine.disease Sixth Cranial Nerve Palsy Bupivacaine Surgery Abdominal Pain Fentanyl Anesthesiology and Pain Medicine Anesthesia Female Dura Mater Rocuronium Complication business Anesthetics Intravenous Blood Patch Epidural Abducens Nerve Diseases Neuromuscular Nondepolarizing Agents |
| Zdroj: | Canadian journal of anaesthesia = Journal canadien d'anesthesie. 51(8) |
| ISSN: | 0832-610X |
| Popis: | Bilateral sixth nerve palsy is a known though uncommon complication following dural puncture. The recommended treatment consists of hydration and alternate monocular occlusion. The value and the timing of an epidural blood patch (EBP) for sixth nerve palsy remains controversial as some authors have demonstrated benefits in performing an EBP early in course of the nerve palsy whereas others have not found any advantage when an EBP was performed later.A 40-yr-old woman developed bilateral sixth nerve palsy ten days after an unintentional dural puncture. An EBP was done within 24 hr after the onset of the symptoms and immediate improvement of the diplopia was noted by the patient and confirmed by an ophthalmologist. Complete resolution of the diplopia occurred 36 days after the dural puncture.Blood patching within 24 hr of the onset of diplopia may be a reasonable treatment for ocular nerve palsy as it relieved the postdural puncture headache and produced partial improvement of the diplopia. |
| Databáze: | OpenAIRE |
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