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在带外围麻醉的阴道分娩后,头骨神经六次:一个病例报告

Jennifer Olivarez¹, Scott Gutovitz¹, Caylyne Arnold¹

¹Department of Emergency Medicine, Grand Strand Regional Medical Center, Myrtle Beach, South Carolina.

The Journal of emergency medicine

|February 27, 2024

概括

外周麻醉的一种罕见并发症,头骨神经VI导致双眼视,可能发生在分娩后. 紧急医生应该认识到这种脑脊液泄漏的潜在结果和现有的治疗方法.

科学领域:

神经学神经学
麻醉学麻醉学
紧急医疗紧急医疗

背景情况:

这份病例报告详细介绍了一名34岁的女性,她经历了阴道分娩和外周麻醉后的双眼和视障.
患者在分娩后两周出现了持续的头痛和新出现的双重视力.

研究的目的:

为了突出表外麻醉的不常见并发症:脑脊液泄漏后的头骨神经VI.
告知急诊医生关于双眼视作为潜在的腰部刺穿后症状和可用的治疗方法.

主要方法:

病例报告详细介绍患者的表现,诊断评估和治疗过程.
审查潜在的干预措施,包括血液补丁,成像和手术选择.

主要成果:

患者接受了三次血液补丁,以检查持续的脑脊髓液泄漏症状.
神经VI,归因于大脑和神经拉伸,在三周内自发消失.
考虑了先进的成像和外科干预,但患者拒绝了.

结论:

头骨神经VI是一种罕见的,但可能的并发症,在外周麻醉后进行持续穿刺.
紧急医生应考虑在手术后出现双眼视的患者中出现脑脊液泄漏.
保守的管理和理解典型的解决时间表对于患者护理决策至关重要.

关键词:

大脑脊髓液泄漏问题头骨神经 6 的麻腹膜外注并发症腹膜外注并发症

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