Postoperative anisocoria in a patient undergoing endoscopic sinus surgery
| Autor: | Nader D. Nader, David T.R. Stewart, George T. Simpson |
|---|---|
| Rok vydání: | 1999 |
| Předmět: |
Male
medicine.medical_specialty Anesthetic Agent Hematoma Postoperative Complications Cocaine Ethmoid Sinus medicine Humans Local anesthesia Corneal reflex Anesthetics Local Sinusitis Nose Intracranial pressure Anisocoria medicine.diagnostic_test business.industry Endoscopy General Medicine Middle Aged medicine.disease Surgery Anesthesiology and Pain Medicine medicine.anatomical_structure Anesthesia medicine.symptom business Tomography X-Ray Computed |
| Zdroj: | Regional anesthesia and pain medicine. 24(5) |
| ISSN: | 1098-7339 |
| Popis: | Objective Anisocoria after sinus surgery can be related to serious complications such as intraorbital hematoma or increased intracranial pressure secondary to an expanding hematoma. Case report A 51-year-old man underwent endoscopic surgery of sinuses, and developed anisocoria; likely a result of the local spread of cocaine used to provide local anesthesia and vasoconstriction. The localized effect of this anesthetic agent produced a typical picture of nasociliary ganglion block that subsided in a few hours. In the results, the nasociliary nerve block was noticed on recovery from anesthesia with no other neurologic deficit. Ophthalmologic examination demonstrated a short-lasting anisocoria with loss of accommodation and sensory block over the tip of the nose. Conclusion The central spread of the local anesthetics should be considered as a differential diagnosis of unexplained anisocoria, especially when it is associated with loss of corneal reflex. |
| Databáze: | OpenAIRE |
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