Transient Bilateral Ophthalmoplegia: A Case of a Forgotten Anesthetic Medication Effect
| Autor: | Mark D Catton, Sara J. Hyland, Nicole R Smith, Tapan Kavi, Jacky Lin |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Shoulder surgery
medicine.medical_treatment Horner syndrome Neurologic Process eye ptosis code stroke scopolamine nerve block ophthalmoplegia Neuroimaging Anesthesiology medicine Stroke gaze palsy adverse drug effect business.industry General Engineering medicine.disease stroke mimic general anesthesia Ophthalmology Neurology Anesthesia Anesthetic Nerve block Presentation (obstetrics) business medicine.drug |
| Zdroj: | Cureus |
| ISSN: | 2168-8184 |
| Popis: | A 58-year-old woman was found to have bilateral ptosis and downward gaze deviation immediately after elective shoulder surgery with general anesthesia and supraclavicular nerve block. A code stroke was activated due to concern for the neurologic process, but neuroimaging did not reveal acute changes or vascular abnormality. Her symptoms gradually resolved in the following hours with supportive care and were ultimately deemed to be related to anesthetic and transdermal scopolamine exposures layered upon her underlying comorbidities. Transient bilateral ophthalmoplegia after general anesthetics has been previously described; drug effect should be considered in the differential of this alarming presentation, which can mimic acute stroke and/or Horner syndrome. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|