Isolated sixth nerve palsy secondary to general anesthesia in endoscopic dacryocystectomy: a rare case report
Author: Zahrah Alabdullah
Base Hospital / Institution: King fahad university hospital
ePoster presentation
Abstract ID: 24-411
Purpose
Ocular complications following general anesthesia (GA) are uncommon but can have significant clinical implications. This case report discusses a rare occurrence of isolated sixth nerve palsy in a 56-year-old female patient post-GA during endoscopic dacryocystectomy (EDCR). The patient experienced horizontal binocular diplopia attributed to an abduction deficit in her right eye. Diagnostic imaging ruled out other potential etiologies, and gradual improvement was noted with conservative management, including prism glasses. This case emphasizes the necessity of vigilant postoperative monitoring for ocular complications, particularly cranial nerve palsies, and discusses the multifactorial nature of such complications post-GA.
Methods
This is a case of 56 year old female experienced right sixth nerve palsy post general anasethesia during endoscopic dacryocystectomy
Results
Patient recovered spontaneously one month after conservative treatment
Conclusion
This case report of isolated sixth nerve palsy following GA in an EDCR procedure underlines the rarity and complexity of diagnosing and managing such ocular complications. The absence of direct etiological factors from the anesthetic or surgical process and the spontaneous resolution of symptoms with conservative management underscore the importance of vigilant postoperative monitoring. This case raises awareness about the risk of peripheral nerve injury post-GA, emphasizing the need for a thorough evaluation to rule out serious underlying conditions and a meticulous reporting of intraoperative events and management. The multifactorial nature of such nerve palsies, potentially influenced by surgical duration, patient positioning, and systemic factors like hypertension or drug toxicity, calls for a comprehensive approach to patient care and documentation in similar future instances.
Additional Authors
| First name | Last name | Base Hospital / Institution |
|---|---|---|
| Reem | Alonazi | King fahad university hospital |
| Eman | Albrahim | King fahad university hospital |
| Nada | Albahrani | King fahad university hospital |
