Transient Unilateral Sixth Nerve Palsy in a Child following General Anesthesia: A Case Report.

IF 0.6 Q4 OPHTHALMOLOGY

Case Reports in Ophthalmology Pub Date : 2025-05-09 eCollection Date: 2025-01-01 DOI:10.1159/000546210

Ruba Saleh Alghofaili

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引用次数: 0

Abstract

Introduction: Transient sixth cranial (abducens) nerve palsy is uncommon, especially in children, in whom it can herald serious underlying pathology. Sixth nerve palsy has been reported after spinal anesthesia and lumbar puncture and, in very rare cases, after complicated general anesthesia or ocular muscle procedures. Acute strabismus in children is always a concerning occurrence for both parents and clinicians, so an accurate record of documented etiologies is essential to guide appropriate management and to reassure the parents.

Case presentation: Here we report the first case of transient unilateral sixth nerve palsy following general anesthesia for a non-ocular surgical procedure (adenoidectomy) in a 5-year-old child. Ocular motility assessment confirmed right-sided abducens nerve palsy and MRI excluded underlying pathology. The right eye movement gradually improved over the following 2 weeks and the child made a full recovery.

Conclusion: Given the favorable prognosis, watchful waiting is an appropriate management strategy provided that the more common sinister causes of sixth nerve palsy have been carefully excluded.

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儿童全麻后一过性单侧第六神经麻痹1例。

简介：短暂性第六颅（外展）神经麻痹并不常见，特别是在儿童中，这可能预示着严重的潜在病理。第六神经麻痹有脊髓麻醉和腰椎穿刺后的报道，在非常罕见的情况下，在复杂的全身麻醉或眼肌手术后。儿童急性斜视一直是家长和临床医生关注的问题，因此准确的病因记录对于指导适当的治疗和让家长放心至关重要。病例介绍：在这里，我们报告了第一例5岁儿童在非眼部手术（腺样体切除术）全身麻醉后发生的一过性单侧第六神经麻痹。眼动评估证实右侧外展神经麻痹，MRI排除了潜在病理。2周后，患儿右眼运动逐渐改善，完全康复。结论：考虑到良好的预后，观察等待是一种适当的治疗策略，前提是仔细排除更常见的第六神经麻痹的险恶原因。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Case Reports in Ophthalmology OPHTHALMOLOGY-

CiteScore

0.90

自引率

0.00%

发文量

129

审稿时长

12 weeks

期刊介绍： This peer-reviewed online-only journal publishes original case reports covering the entire spectrum of ophthalmology, including prevention, diagnosis, treatment, toxicities of therapy, supportive care, quality-of-life, and survivorship issues. The submission of negative results is strongly encouraged. The journal will also accept case reports dealing with the use of novel technologies, both in the arena of diagnosis and treatment. Supplementary material is welcomed. The intent of the journal is to provide clinicians and researchers with a tool to disseminate their personal experiences to a wider public as well as to review interesting cases encountered by colleagues all over the world. Universally used terms can be searched across the entire growing collection of case reports, further facilitating the retrieval of specific information. Following the open access principle, the entire contents can be retrieved at no charge, guaranteeing easy access to this valuable source of anecdotal information at all times.