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CC BY-NC-ND 4.0 · J Neuroanaesth Crit Care 2018; 05(03): 193-194
DOI: 10.1055/s-0038-1665546
Case Report
Indian Society of Neuroanaesthesiology and Critical Care

Diplopia following Extraoral Maxillary Nerve Blockade for Trigeminal Neuralgia

Siddharth Chavali
1   Department of Neuroanaesthesiology and Critical Care, Neurosciences Centre, All India Institute of Medical Sciences (AIIMS), New Delhi, India
,
Girija P. Rath
1   Department of Neuroanaesthesiology and Critical Care, Neurosciences Centre, All India Institute of Medical Sciences (AIIMS), New Delhi, India
,
Parmod K. Bithal
2   Department of Anesthesia and OR Administration, King Fahd Medical City, Riyadh, Saudi Arabia
› Author Affiliations
Further Information

Publication History

Received: 17 May 2018

Accepted after revision: 24 May 2018

Publication Date:
07 September 2018 (online)

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Abstract

We report a case of diplopia due to reversible abducens nerve block associated with extraoral maxillary blockade of the trigeminal nerve. This complication occurs despite precautions such as aspiration and confirmation of needle tip position with nerve stimulation. Knowledge of this condition and its potential cause should alert the physician to the importance of appropriate injection technique and an understanding of the management protocol.

Keywords

maxillary nerve block - extraoral approach - neurolytic agent - complication - abducens nerve palsy
 

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