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Abducens Nerve Palsy As a Complication of Spinal Anesthesia Following Knee Arthroscopy

机译:Abducens神经麻痹作为膝关节镜检查后脊髓麻醉的并发症

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Neuroaxial blocks (spinal, epidural and caudal blocks) are commonly used procedures in anesthesia. Dural puncture was first introduced by Quincke. Bier proposed that leakage of cerebro spinal fluid (CSF) through the dural puncture side exceeds the rate of CSF production and results in low CSF pressure. This leads to intracranial hypotension causing traction of the cranial nerves(1,2). The nervus abducens is most frequently affected because of its long intracranial course(2). We report a case of abducens nerve palsy following spinal anesthesia.
机译:神经轴嵌段(脊柱,硬膜外和尾部)是麻醉中的常用程序。 Quincke首次推出了Dural Puncture。 BIER提出,脑脊髓液(CSF)通过多云穿刺侧泄漏超过CSF生产的速率,并导致低CSF压力。这导致颅内低血压导致颅神经牵引(1,2)。由于其长的颅内课程(2),神经Abducens最常受到影响。我们举报了脊髓麻醉后Abducens神经麻痹的病例。

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