下颌神经阻滞术后继发的罕见并发症--眼球突出和一过性复视:病例报告。

Mustafa Karaoğlan, Bilge Küçükçay, Levent Ertuğrul İnan
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引用次数: 0

摘要

眼部并发症是下颌神经阻滞术后罕见的副作用之一,也是效果最显著的副作用之一。由于下颌神经阻滞多由牙医实施,因此这种并发症多见于口内下颌神经阻滞术后。下颌神经是三叉神经的第三分支。它是 Gasser 神经节最尾端和最外侧的部分。它通过卵圆孔从中颅窝发出。在这一区域,已经确定了一种通过冠状突进行阻断的方法。这种阻滞通常使用解剖标记,用于治疗三叉神经痛。我科收治了一名 42 岁的女性患者,诊断为三叉神经痛,需要进行上颌和下颌阻滞。施用局麻药后,患者立即描述视力完全丧失。视力丧失的主诉持续了约 1 分钟,之后患者主诉复视持续了 2 小时 10 分钟。本病例报告介绍了采用口外技术进行下颌骨阻滞后出现的眼部并发症,这是一种意想不到的副作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Amaurosis and transient diplopia, a rare complication secondary to mandibular nerve block: A case report.

Ocular complications are one of the rare side effects that can be seen after a mandibular nerve block and have the most dramatic results. Since the mandibular nerve block is mostly performed by dentists, this complication is mostly seen after an intraoral mandibular nerve block. The mandibular nerve is the third division of the trigeminal nerve. It is the most caudal and lateral part of Gasser's ganglion. It arises from the middle cranial fossa through the foramen ovale. In this region, a block method, which is performed by passing through the coronoid process, has been defined. This block, usually made using anatomical markers, is used in the treatment of trigeminal neuralgia. A 42-year-old female patient was admitted to our department for a maxillary and mandibular block with a diagnosis of trigeminal neuralgia. Immediately after the administration of the local anesthetic, the patient described a complete loss of vision. The complaint of vision loss lasted for about 1 minute, after which the patient's complaint of diplopia continued for 2 hours and 10 minutes. This case report presents the ocular complications after a mandibular block applied with the extraoral technique as an unexpected side effect.

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