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Sixth nerve palsy after lumbar anesthesia.

S Richer1, D Ritacca

  • 1VA Medical Center, North Chicago, Illinois.

Optometry and Vision Science : Official Publication of the American Academy of Optometry
|May 1, 1989
PubMed
Summary

A rare complication of spinal anesthesia, sixth nerve palsy, can cause double vision (diplopia) weeks after a lumbar puncture. Clinicians must consider this possibility when diagnosing nerve palsies.

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Area of Science:

  • Neurology
  • Ophthalmology

Background:

  • Spinal anesthesia, commonly used for surgical procedures, involves injecting anesthetic into the cerebrospinal fluid via a lumbar puncture.
  • Potential complications, though rare, require thorough understanding for effective patient management.

Observation:

  • A middle-aged male patient presented with diplopia, or double vision.
  • The onset of diplopia occurred three weeks post-lumbar puncture for spinal anesthesia.

Findings:

  • The patient's symptoms are consistent with a sixth nerve paresis/paralysis.
  • This presentation suggests a potential, albeit rare, neurological complication secondary to the lumbar puncture procedure.

Implications:

  • This case highlights the importance of considering post-lumbar puncture headache and associated neurological deficits, including cranial nerve palsies.
  • Awareness of this rare complication is crucial for orthopedic and neurological practitioners when evaluating patients with new-onset diplopia.

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