Reactions 1364 - 13 Aug 2011

SBupivacaine/sufentanil

Abducens nerve paralysis treated with mannitol:case report

A 31-year-old woman developed abducens nerveparalysis after spinal anaesthesia with bupivacaine andsufentanil; she was successfully treated with mannitol.

The woman was scheduled for a caesarean section, andreceived bupivacaine 10mg and sufentanil 2.5µg via a26-gauge needle into the L3-4 interspace. Surgery wasperformed uneventfully, and she was discharged the nextday. However, she presented to a hospital 2 days later witha postural headache.

The woman received sodium chloride, paracetamol[acetaminophen], aspirin, caffeine and ibuprofen. Herheadache improved 24 hours later; however, shedeveloped diplopia. Neurological, ophthalmological andradiological tests, including brain MRI and 3D retinal scans,yielded normal results. Fifteen days after surgery, shereceived an IV infusion of 20% mannitol 1 g/kg over30 minutes. Her diplopia improved within 2 hours, and hervision normalised after 8 hours. No recurrence was notedin 8 months follow-up.Amini-Saman J, et al. Intravenous mannitol for treatment of abducens nerveparalysis after spinal anesthesia. International Journal of Obstetric Anesthesia 20:271-272, No. 3, Jul 2011. Available from: URL: http://dx.doi.org/10.1016/j.ijoa.2011.02.001 - Iran 803058789

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Reactions 13 Aug 2011 No. 13640114-9954/10/1364-0001/$14.95 © 2010 Adis Data Information BV. All rights reserved