Acta clinica Croatica, Vol. 62. No. 3, 2023.
Recenzija, prikaz
https://doi.org/10.20471/acc.2023.62.03.21
Isolated Abducens Nerve Palsy after Lumbar Puncture – a Case Report
Nevena Grbić
orcid.org/0000-0003-1537-3734
; estre milosrdnice University Hospital Center, Department of Neurology, Zagreb, Croatia
Iris Zavoreo
orcid.org/0000-0001-9358-1665
; Sestre milosrdnice University Hospital Center, Department of Neurology, Zagreb, Croatia; University of Zagreb, Faculty of Kinesiology, Zagreb, Croatia
Vanja Bašić Kes
; estre milosrdnice University Hospital Center, Department of Neurology, Zagreb, Croatia; University of Zagreb, School of Dental Medicine, Zagreb, Croatia; Josip Juraj Strossmayer University of Osijek, Faculty of Medicine, Osijek, Croatia
Sažetak
Isolated abducens nerve palsy following lumbar puncture is a rare complication.
In scientific literature, it has been mostly described after performing spinal anesthesia in anesthesiology
literature rather than in neurological literature. Isolated abducens nerve palsy usually
occurs from one to three weeks after performing lumbar puncture and it is important to connect
it with this procedure and exclude other possible etiologies. The actual incidence of this complication
is unknown. We describe a 32-year-old male patient who presented with unspecific headache
attributed to cavernous malformation and two developmental venous anomalies. While searching
for headache etiology, lumbar puncture was performed. Two days after lumbar puncture, the patient
presented with isolated abducens palsy of the right eye. Our planned diagnostic evaluation included
measuring intracranial pressure by noninvasive optic sheath nerve sonography and repeating brain
magnetic resonance imaging. We also planned to treat the patient with epidural blood patch, which
is usually successful when performed as soon as the diagnosis is established. Unfortunately, our
patient refused diagnostic and therapeutic proposal, so it was impossible to know final outcome. In
conclusion, we want to highlight these complications, especially to young doctors and specialists
who might see it rarely.
Ključne riječi
Abducens palsy; Lumbar; Dural puncture; Complication
Hrčak ID:
315284
URI
Datum izdavanja:
1.11.2023.
Posjeta: 125 *