Four cases of diplopia following spinal anesthesia

Many complications after spinal anesthesia have been reported, but diplopia is rare. We had four cases of diplopia in 794 cases of spinal anesthesia in three years at Nara Medical University Hospital. These 4 cases were not characterized by any major factors including gender, age, or anesthetic choi...

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Bibliographic Details
Published inMasui. The Japanese journal of anesthesiology Vol. 54; no. 7; p. 767
Main Authors Egawa, Junji, Nakahashi, Kazuyoshi, Abe, Ryuichi, Nomura, Yasumitsu, Kitaguchi, Katsuyasu, Furuya, Hitoshi
Format Journal Article
LanguageJapanese
Published Japan 01.07.2005
Subjects
Adult
Aged
Aged, 80 and over
Anesthesia, Spinal - adverse effects
Diplopia - etiology
Female
Humans
Male
Middle Aged
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Summary:Many complications after spinal anesthesia have been reported, but diplopia is rare. We had four cases of diplopia in 794 cases of spinal anesthesia in three years at Nara Medical University Hospital. These 4 cases were not characterized by any major factors including gender, age, or anesthetic choice. However, two of them were accompanied with post-spinal headache. Diplopia in three cases improved spontaneously, but one finally required epidural blood patch for the persistent diplopia. Lack of concern regarding the possibility of post-spinal diplopia among medical staffs might be common because this incidence is really rare. However, we need to know the possibility of this neurological sequel after spinal anesthesia. We would like to propose that the informed consent regarding spinal anesthesia should include the possibility of this complication and anesthesiologists should perform intensive neurological examinations after spinal anesthesia concerning post-spinal diplopia.
ISSN:0021-4892