剖宫产术后单侧第六颅神经麻痹作为脊髓麻醉的并发症
Unilateral Sixth Cranial Nerve Palsy Following C/S as a Complication of Spinal Anaesthesia.
作者信息
Adaklı Barış, Özgencil Enver, Özünlü Gülen Nevin, Aybar Refiye Selin, Uysalel Asuman
机构信息
Department of Anaesthesiology and Reanimation, Ankara University Faculty of Medicine, Ankara, Turkey.
出版信息
Turk J Anaesthesiol Reanim. 2014 Jun;42(3):151-3. doi: 10.5152/TJAR.2014.52724. Epub 2014 Jun 1.
Abstract
Cranial nerve palsy (CNP) is a rare complication following lumbar puncture, which is a common procedure used most often for diagnostic and anaesthetic purposes. The sixth cranial (abducens) nerve is the most commonly affected cranial nerve. We report a case of unilateral sixth nerve palsy after spinal anaesthesia that improved immediately after an epidural blood patch (EBP).
摘要
颅神经麻痹（CNP）是腰椎穿刺后一种罕见的并发症，腰椎穿刺是一种最常用于诊断和麻醉目的的常见操作。第六对颅神经（展神经）是最常受影响的颅神经。我们报告一例脊髓麻醉后单侧第六神经麻痹的病例，该病例在硬膜外血贴（EBP）后立即得到改善。
相似文献
1
Unilateral Sixth Cranial Nerve Palsy Following C/S as a Complication of Spinal Anaesthesia.剖宫产术后单侧第六颅神经麻痹作为脊髓麻醉的并发症
Turk J Anaesthesiol Reanim. 2014 Jun;42(3):151-3. doi: 10.5152/TJAR.2014.52724. Epub 2014 Jun 1.
2
Abducens palsy after lumbar drain placement: a rare complication in endoscopic skull base surgery.腰大池引流后展神经麻痹：内镜颅底手术中的罕见并发症。
Laryngoscope. 2013 Nov;123(11):2633-8. doi: 10.1002/lary.24177. Epub 2013 May 13.
3
Case report: epidural blood patch in the treatment of abducens palsy after a dural puncture.病例报告：硬膜外血贴治疗硬膜穿刺后外展神经麻痹
Can J Anaesth. 2007 Feb;54(2):146-50. doi: 10.1007/BF03022012.
4
Cranial nerve palsy following central neuraxial block in obstetrics - a review of the literature and analysis of 43 case reports.产科中枢神经轴索阻滞术后的颅神经麻痹——文献综述及43例病例报告分析
Int J Obstet Anesth. 2017 May;31:13-26. doi: 10.1016/j.ijoa.2017.02.003. Epub 2017 Feb 20.
5
Bilateral sixth cranial nerve palsy after unintentional dural puncture.意外硬膜穿刺后双侧第六颅神经麻痹
Can J Anaesth. 2004 Oct;51(8):821-3. doi: 10.1007/BF03018456.
6
Isolated Abducens Nerve Palsy Following Spinal Anesthesia.脊髓麻醉后孤立性展神经麻痹
Cureus. 2023 Jul 3;15(7):e41298. doi: 10.7759/cureus.41298. eCollection 2023 Jul.
7
Vocal Cord Palsy as a Complication of Epidural Anaesthesia.声带麻痹作为硬膜外麻醉的一种并发症
Case Rep Otolaryngol. 2018 Oct 25;2018:6543656. doi: 10.1155/2018/6543656. eCollection 2018.
8
ISOLATED ABDUCENS NERVE PALSY AFTER LUMBAR PUNCTURE - A CASE REPORT.腰穿后孤立性展神经麻痹——1 例报告。
Acta Clin Croat. 2023 Nov;62(3):567-570. doi: 10.20471/acc.2023.62.03.21.
9
Combined fourth and sixth cranial nerve palsy after lumbar puncture: a rare complication. A case report.腰椎穿刺后合并动眼神经及展神经麻痹：一种罕见的并发症。病例报告。
Bull Soc Belge Ophtalmol. 2001(281):29-33.
10
Acute Cranial Nerve VI Palsy Following Prolonged Prone Positioning in an Adolescent With Neurofibromatosis Type 1: A Rare Complication of Spinal Surgery in the Prone Position.1型神经纤维瘤病青少年长时间俯卧位后急性动眼神经麻痹：俯卧位脊柱手术的罕见并发症
J Med Cases. 2023 Oct;14(9-10):317-321. doi: 10.14740/jmc4145. Epub 2023 Oct 13.
引用本文的文献
1
Transient Unilateral Sixth Nerve Palsy in a Child following General Anesthesia: A Case Report.全身麻醉后儿童出现的短暂性单侧第六脑神经麻痹：一例报告
Case Rep Ophthalmol. 2025 May 9;16(1):426-429. doi: 10.1159/000546210. eCollection 2025 Jan-Dec.
本文引用的文献
1
Paresis of cranial nerve VI (N. abducens) after thoracic dural perforation.第六颅神经（展神经）麻痹后胸椎硬脑膜穿孔。
Minerva Anestesiol. 2010 Dec;76(12):1085-7. Epub 2010 Sep 13.
2
Bilateral sixth cranial nerve palsy after unintentional dural puncture.意外硬膜穿刺后双侧第六颅神经麻痹
Can J Anaesth. 2004 Oct;51(8):821-3. doi: 10.1007/BF03018456.
3
Neurological sequelae of spinal anesthesia.脊髓麻醉的神经后遗症。
Anesthesiology. 1961 Sep-Oct;22:682-98. doi: 10.1097/00000542-196109000-00004.
4
Abducens palsy after lumbar puncture.腰椎穿刺后外展神经麻痹
Clin Neurol Neurosurg. 2002 Jan;104(1):61-3. doi: 10.1016/s0303-8467(01)00170-6.
5
Combined fourth and sixth cranial nerve palsy after lumbar puncture: a rare complication. A case report.腰椎穿刺后合并动眼神经及展神经麻痹：一种罕见的并发症。病例报告。
Bull Soc Belge Ophtalmol. 2001(281):29-33.
6
Assessment: prevention of post-lumbar puncture headaches: report of the therapeutics and technology assessment subcommittee of the american academy of neurology.评估：腰椎穿刺后头痛的预防：美国神经病学学会治疗与技术评估小组委员会报告
Neurology. 2000 Oct 10;55(7):909-14. doi: 10.1212/wnl.55.7.909.
7
A bruital headache and double vision.搏动性头痛和复视。
Surv Ophthalmol. 2000 Sep-Oct;45(2):147-53. doi: 10.1016/s0039-6257(00)00144-2.
8
The risk of abducens palsy after diagnostic lumbar puncture.诊断性腰椎穿刺后展神经麻痹的风险。
Neurology. 2000 Feb 8;54(3):768-9. doi: 10.1212/wnl.54.3.768.
9
Lack of efficacy of an epidural blood patch in treating abducens nerve palsy after an unintentional dura puncture.硬膜外血贴治疗意外硬膜穿破后外展神经麻痹无效。
Reg Anesth Pain Med. 1999 Sep-Oct;24(5):470-2. doi: 10.1016/s1098-7339(99)90017-2.
10
The epidural blood patch. Resolving the controversies.硬膜外血贴疗法：解决争议
Can J Anaesth. 1999 Sep;46(9):878-86. doi: 10.1007/BF03012979.
Zotero 插件