Rosen W J
Section of Ophthalmology, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire 03756-0001, USA.
J Cataract Refract Surg. 1999 Aug;25(8):1170-1. doi: 10.1016/s0886-3350(99)00128-5.
After having a retrobulbar injection for anesthesia before cataract surgery, a patient developed dysarthria. This was the presenting sign for penetration of the optic nerve sheath by the retrobulbar injection, with subsequent brainstem anesthesia. Thereafter, the patient demonstrated cranial nerve dysfunctions with tongue deviation, tachycardia, hypertension, and contralateral sixth and third nerve palsies. I believe this is the first documented case in which dysarthria is the presenting sign for brainstem anesthesia resulting from a retrobulbar injection.
在白内障手术前进行球后注射麻醉后，一名患者出现了构音障碍。这是球后注射穿透视神经鞘并随后导致脑干麻醉的首发症状。此后，该患者表现出颅神经功能障碍，伴有舌偏斜、心动过速、高血压以及对侧第六和第三神经麻痹。我认为这是第一例有文献记载的以构音障碍作为球后注射导致脑干麻醉首发症状的病例。
