Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Search research articles

Related Experiment Video

Updated: Jul 7, 2026

The Third Channel-Assisted Unilateral Biportal Endoscopic Technique for Lumbar Spinal Stenosis Combined with Contralateral Disc Herniation

The Third Channel-Assisted Unilateral Biportal Endoscopic Technique for Lumbar Spinal Stenosis Combined with Contralateral Disc Herniation

Published on: November 17, 2023

Acute esotropia after epidural anesthesia.

Yossi Yatziv¹, Chaim Stolowitch, Yoram Segev

¹Department of Ophthalmology, Tel Aviv Sourasky Medical Center,Tel Aviv University, Tel Aviv, Israel. yyatziv@gmail.com

Obstetrics and Gynecology

|February 2, 2008

Summary

Dural puncture can cause rare cranial nerve palsies, including acute esotropia (inward eye turning). This condition, often affecting the sixth cranial nerve, may resolve spontaneously after procedures like epidural anesthesia.

Related Concept Videos

Local Anesthetics: Clinical Application as Epidural Anesthesia

Local Anesthetics: Clinical Application as Epidural Anesthesia

Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

A case of a young patient with progressive vision loss: An atypical presentation of the rare Wolfram Syndrome in a Middle Eastern individual.

American journal of ophthalmology case reports·2025

Same author

A genetic survey of patients with familial idiopathic intracranial hypertension residing in a Middle Eastern village: genetic association study.

European journal of medical research·2024

Same author

Neovascular Glaucoma as a Presenting Sign of Catastrophic Antiphospholipid Syndrome with a "Catastrophic" Heart Valve Finding.

Case reports in ophthalmology·2021

Same author

"More Guts Than Brains?"-The Role of Gut Microbiota in Idiopathic Intracranial Hypertension.

Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society·2021

Same author

Papilledema and Cerebral Venous Sinus Thrombosis Due to JAK2 Mutation.

Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society·2021

Same author

The Usefulness of the Erythrocyte Sedimentation Rate and C-reactive Protein for the Differential Diagnosis of Non-Arteritic Anterior Ischemic Optic Neuropathy in the Era of Microinflammation.

Ocular immunology and inflammation·2020

Area of Science:

Neurology
Ophthalmology
Anesthesiology

Background:

Dural puncture, often from epidural anesthesia, can lead to rare neurological complications.
Cranial nerve palsy is an uncommon but recognized sequela of dural puncture.
The sixth cranial nerve is particularly susceptible due to its lengthy intracranial path.

Observation:

A case of acute comitant esotropia developed in a woman one week post-epidural anesthesia.
The patient underwent an unintentional dural puncture during labor epidural.
Magnetic resonance imaging showed diffuse pachymeningeal enhancement, indicative of dural puncture.

Findings:

The patient presented with acute onset esotropia, a form of strabismus.
The esotropia occurred subsequent to an unintentional dural puncture during childbirth.

Related Experiment Videos

Last Updated: Jul 7, 2026

The Third Channel-Assisted Unilateral Biportal Endoscopic Technique for Lumbar Spinal Stenosis Combined with Contralateral Disc Herniation

The Third Channel-Assisted Unilateral Biportal Endoscopic Technique for Lumbar Spinal Stenosis Combined with Contralateral Disc Herniation

Published on: November 17, 2023

Symptoms resolved spontaneously without specific intervention.

Implications:

Clinicians should consider dural puncture in the differential diagnosis of acute strabismus.
This case highlights a rare neurological complication associated with neuraxial procedures.
Prompt recognition and understanding of this association are crucial for patient management.