Abducens palsy following spinal anesthesia: a case report/ Spinal anestezi sonrasi abdusens felci: olgu sunumu

A 52-year-old male patient presented with diplopia and strabismus, which developed 3 weeks ago following spinal anesthesia for inguinal hernia repair. He had left esotropia and abduction was limited (-4) in the left eye. The patient was diagnosed as having 6th cranial nerve palsy secondary to cerebrospinal fluid leakage following dural puncture and had intravenous hydration and epidural blood patch treatment. Diplopia decreased by the first month and his eye movements returned to normal by the 6th month after treatment. 6th cranial nerve palsy secondary to spinal anesthesia is a rare and temporary condition, which is thought to be secondary to the traction of 6th nerve due to intracranial hypotension following cerebrospinal fluid leakage. (Turk J Ophthalmol 2011; 41: 125-7) Key Words: Abducens nerve palsy, spinal anesthesia Elli iki yasinda erkek hasta, 3 hafta once inguinal herni cerrahisi icin spinal anestezi aldiktan sonra baslayan sol gozde kayma ve cift gorme yakinmalariyla basvurdu. Sol gozde ezotropya ve abduksuyonda -4 kisitlilik mevcut olan hastada, spinal anestezi sonrasinda beyinomurilik sivisi (BOS) kacagina bagli 6. kranial sinir felci tanisi dusunulerek sivi replasman tedavisi ve epidural kan yamasi uygulandi. Hastanin takibinde 1. ayda diplopinin azaldigi, 6. ayda ise goz hareketlerinin serbestlestigi goruldu. Spinal anestezi sonrasi gorulen nadir ve gecici bir durum olan 6. kranial sinir felcinin, BOS kacagi sonucu olusan intrakranial hipotansiyona sekonder 6. kranial sinirin traksiyona ugramasi ile ortaya ciktigi dusunulmektedir. (Turk J Ophthalmol 2011; 41: 125-7) Anahtar Kelimeler: Abdusens sinir felci, spinal anestezi