Abducens paralysis-a rare complication of spinal anesthesia at an emergency department: a case report

The sixth cranial nerve (CN VI) is a rare site of complication associated with spinal anesthesia and can produce secondary symptoms of ocular muscle palsy. A 38-year-old man was admitted to the emergency department with complaint of diplopia and limited lateral gaze in the first week after endoscopi...

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Bibliographic Details
Published in:Acute and critical care 2024, 39(3), , pp.441-443
Main Authors: Korkut, Mustafa, Bedel, Cihan
Format: Article
Language:English
Subjects:
emergency department
sixth cranial nerve palsy
spinal anesthesia
마취과학
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Summary:The sixth cranial nerve (CN VI) is a rare site of complication associated with spinal anesthesia and can produce secondary symptoms of ocular muscle palsy. A 38-year-old man was admitted to the emergency department with complaint of diplopia and limited lateral gaze in the first week after endoscopic urological surgery under spinal anesthesia. Isolated unilateral CN VI palsy was considered after excluding differential diagnoses. Ocular palsy and diplopia regressed with conservative treatment during follow-up, and the patient was discharged. This article aims to show that CN VI palsy is a rare complication of spinal anesthesia, which can be observed in the emergency department.
ISSN:2586-6052
2586-6060
2586-6060
DOI:10.4266/acc.2021.01697