Korkut Mustafa, Bedel Cihan
Department of Emergency Medicine, Health Science University Antalya Training and Research Hospital, Antalya, Turkey.
Acute Crit Care. 2022 Jul 5;39(3):441-3. doi: 10.4266/acc.2021.01697.
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.
第六颅神经（CN VI）是与脊髓麻醉相关的罕见并发症部位，可产生眼肌麻痹的继发症状。一名38岁男性在脊髓麻醉下进行内镜泌尿外科手术后第一周因复视和侧视受限入住急诊科。排除鉴别诊断后考虑为孤立性单侧CN VI麻痹。随访期间经保守治疗眼肌麻痹和复视消退，患者出院。本文旨在表明CN VI麻痹是脊髓麻醉的一种罕见并发症，可在急诊科观察到。
