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Updated: Jul 26, 2026

Role of Diffusion MRI Tractography in Endoscopic Endonasal Skull Base Surgery
Published on: July 5, 2021
[Intracranial diffusion. A complication of retrobulbar anesthesia]
A Marqués-González1, X Onrubia-Fuertes, J Bellver-Romero
1Servicio de Anestesiología y Reanimación, Hospital Dr. Peset, Valencia.
Abstract:
Retrobulbar anesthesia is considered a safe, effective local-regional technique for ocular surgery. However, local complications that can arise from needle trauma during injection, include retrobulbar hemorrhage, perforation of the ocular globe and occlusion of the artery and/or the central vein of the retina. Systemic complications, such as respiratory arrest, convulsions and cardiovascular collapse, have also been reported, and although they only occur in less than 1% of cases, they are potentially life threatening. We report two cases of intracranial diffusion after retrobulbar anesthesia and describe possible mechanisms that may contribute to its development.
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