Neuro-Ophthalmological Emergencies. Are They Always Innocent? A Case Report and a Literature Review

A. Tsolaki, T. Tegos, Ioannis-Nikolaos Chalkias, Efthymios Chalkias, Panagiotis Ageladarakis, T. Papathomas
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引用次数: 1

Abstract

Neuro-ophthalmogical complications are rare but can be serious after regional block. We present a case of a 54-year-old diabetic patient who was scheduled for pars plana vitrectomy of his right eye due to tractional retinal detachment, under a peribulbar block with a mixture of lidocaine and ropivacaine. He presented with tachycardia, hypertension, seizures, respiratory distress and apnea. He was intubated for less than 24 hours. He was discharged with no neurological deficit. A review regarding these rare but serious neurological complications of ophthalmic surgery is presented, to raise awareness of neurologists, who are called to evaluate and treat these patients
神经眼科紧急情况。他们总是无辜的吗?病例报告及文献综述
神经眼科并发症是罕见的,但可能是严重的区域块。我们报告了一例54岁的糖尿病患者,他因牵引性视网膜脱离,在使用利多卡因和罗哌卡因混合物的球周阻滞下,计划对右眼进行平坦部玻璃体切除术。他表现为心动过速、高血压、癫痫发作、呼吸窘迫和呼吸暂停。他插管不到24小时。他出院时没有神经系统缺陷。对眼科手术中这些罕见但严重的神经系统并发症进行了综述,以提高神经学家的认识,他们被要求评估和治疗这些患者
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