硬膜外类固醇注射后出现气颅和第六神经麻痹：病例报告及文献综述
Pneumocephalus and Sixth Nerve Palsy after Epidural Steroid Injection: Case Report and Review of the Literature.
作者信息
Li Wendy F, Kovacs Kyle, Fisayo Adeniyi A
机构信息
Department of Ophthalmology and Visual Science, Yale School of Medicine, New Haven, Connecticut.
Department of Neurology, Yale School of Medicine, New Haven, Connecticut.
出版信息
J Emerg Med. 2017 Nov;53(5):e89-e92. doi: 10.1016/j.jemermed.2017.08.021. Epub 2017 Oct 5.
BACKGROUND
Pneumocephalus has been described as an unintended outcome after epidural injections. However, oculomotor palsy from pneumocephalus after epidural injection is very rare.
CASE REPORT
We report a case of pneumocephalus-induced sixth nerve palsies and diplopia in an 87-year-old woman after epidural steroid injection. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Pneumocephalus-induced oculomotor palsy is a rare complication after epidural injection, a commonly performed medical procedure. Knowledge of this presentation will help emergency physicians distinguish between this entity and other causes of neurologic deficits.
背景
气颅被描述为硬膜外注射后的意外结果。然而，硬膜外注射后气颅导致的动眼神经麻痹非常罕见。
病例报告
我们报告一例87岁女性在硬膜外注射类固醇后发生气颅导致的第六神经麻痹和复视的病例。
急诊医生为何应了解此情况？：气颅导致的动眼神经麻痹是硬膜外注射（一种常见的医疗操作）后罕见的并发症。了解这种表现将有助于急诊医生区分这种情况与其他神经功能缺损的原因。
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