• Anesthesia progress · Jan 1996

    Case Reports

    Prolonged diplopia following a mandibular block injection.

    • P van der Bijl and T L Lamb.
    • Department of Oral Medicine and Periodontics, Faculty of Dentistry, University of Stellenbosch, Tygerberg, South Africa.
    • Anesth Prog. 1996 Jan 1; 43 (4): 116-7.

    AbstractA case is presented in which a 14-yr-old girl developed diplopia after injection of the local anesthetic Xylotox E 80 A (2% lidocaine with 1:80,000 epinephrine). Since the complication had a relatively slow onset and lasted for 24 hr, the commonly suggested explanations based on vascular, lymphatic, and neural route theories do not adequately fit the observations. No treatment, other than reassurance, was necessary, and the patient recovered fully.

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