Diplopia secondary to dural puncture: report of a case

Authors

Keywords:

spinal anesthesia, diplopia, dural puncture

Abstract

Introduction: spinal anesthesia, despite its many advantages, is not without complications; the neurological ones are the most feared. Diplopia is a complication that represent  a concern for the Anesthesiology Specialist. There are few cases of diplopia described in the literature. Case report: the purpose of this job is to present the case of a puerpera who underwent cesarean section and consecutively presented dural post-puncture headache and diplopia. The diplopia presented by the patient was secondary to hypotension of cerebrospinal fluid subsequent to excessive loss. Conclusions: the patient, despite having presented diplopia as a complication of the dural puncture associated with spinal anesthesia, had a favorable evolution and did not present complications.

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Author Biographies

Luis Ángel Sosa Acosta, Hospital Universitario “Mártires del 9 de Abril”

Especialista de I Grado en Anestesiología y Reanimación

Carmen Rosa Carmona Pentón, Filial Universitaria de Ciencias Médicas "Lidia Doce Sánchez"

Especialista de II Grado en Medicina General Integral. Profesora Instructora de la Filial Universitaria de Ciencias Médicas “Lidia Doce Sánchez”, Sagua la Grande, Villa Clara.

Claribel Plaín Pazos, Filial Universitaria de Ciencias Médicas "Lidia Doce Sánchez"

Especialista de II Grado en Medicina General Integral. Profesora Auxiliar de la Filial Universitaria de Ciencias Médicas “Lidia Doce Sánchez”, Sagua la Grande, Villa Clara.

References

1. Rodríguez-Márquez L A, Saab-Ortega N. Actualización sobre factores de riesgo para cefalea pospunción dural. Méd UIS [Internet]. 2015 [citado 27 Mar 2018];28(3):345-352. Disponible en: https://revistas.uis.edu.co/index.php/revistamedicasuis/article/view/5211/5520

2. Nishio I, Williams BA, Williams JP. Diplopia: a complication of dural puncture. Anesthesiology [Internet]. 2004 Jan [citado 27 Mar 2018];100(1):158-164. Disponible en: http://anesthesiology.pubs.asahq.org/article.aspx?articleid=1942864#67826995

3. Duncan A, Patel S. Neurological complications in obstetrical regional anesthetic practice. J Obstet Anaesth Crit Care [Internet]. 2016 [citado 27 Mar 2018];6(1):3-10. Disponible en: http://www.joacc.com/temp/JObstetAnaesthCritCare613-319611_085241.pdf

4. Gaisser RR. Postdural puncture headache. An evidence-based approach. Anestehesiol Clin [Internet]. 2017 Mar [citado 27 Mar 2018];35(1):157-167. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/28131118

5. Nguyen DT, Walters RR. Standardizing management of post-dural puncture headache in obstetric patients: a literature review. O J Anes [Internet]. 2014 Oct [citado 27 Mar 2018];4(10):244-253. Disponible en: https://file.scirp.org/Html/4-1920298_50917.htm

6. Bradbury CL, Singh SI, Badder SR, Wakely LJ, Jones PM. Prevention of post-dural puncture headache in parturients: a systemic review and meta-analysis. Acta Anaesthesiol Scand [Internet]. 2013 Apr [citado 27 Mar 2018];57(4):417-430. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/23278515

7. Gita N. Headache in the parturient: Pathophysiology and management of post-dural puncture headache. J Obstet Anaesth Crit Care [Internet]. 2011 [citado 27 Mar 2018];1(2):57-66. Disponible en: http://www.joacc.com/article.asp?issn=2249-4472;year=2011;volume=1;issue=2;spage=57;epage=66;aulast=Nath

8. Quel Collado MT, Vela de Toro A, Guerrero Jiménez M. Parálisis del VI par craneal tras analgesia epidural. Anestesiar [Internet]. 2016 [citado 27 Mar 2018]. Disponible en: http://anestesiar.org/2016/paralisis-del-vi-par-craneal-tras-analgesia-epidural/

9. López-Correa T, Garzón-Sánchez JC, Sánchez-Montero FJ, Muriel-Villoria C. Cefalea postpuncióndural en obstetricia. Rev Esp Anestesiol Reanim [Internet]. 2011 Nov [citado 27 Mar 2018];58(9):563-573. Disponible en: http://www.elsevier.es/es-revista-revista-espanola-anestesiologia-reanimacion-344-articulo-cefalea-postpuncion-dural-obstetricia-S0034935611701414

10. Gaiser RR. Postdural puncture headache: a headache for the patient and a headache for the anesthesiologist. Curr Opin Anaesthesiol [Internet]. 2013 Jun [citado 27 Mar 2018];26(3):296-303. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/23587730

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Published

2019-01-10

How to Cite

1.
Sosa Acosta L Ángel, Carmona Pentón CR, Plaín Pazos C. Diplopia secondary to dural puncture: report of a case. Acta Méd Centro [Internet]. 2019 Jan. 10 [cited 2025 Jul. 1];13(2):245-9. Available from: https://revactamedicacentro.sld.cu/index.php/amc/article/view/942

Issue

Vol. 13 No. 2 (2019): April-June

Section

Case Reports

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