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- Yossi Yatziv, Chaim Stolowitch, Yoram Segev, and Anat Kesler.
- Department of Ophthalmology, Tel Aviv Sourasky Medical Center,Tel Aviv University, Tel Aviv, Israel. yyatziv@gmail.com
- Obstet Gynecol. 2008 Feb 1;111(2 Pt 2):540-1.
BackgroundCranial nerve palsy after dural puncture is an uncommon complication. The sixth cranial nerve is the most commonly affected because of its long intracranial course. We report a case of acute comitant esotropia that occurred after unintentional dural puncture.CaseA young woman presented with acute onset comitant esotropia 1 week after epidural anesthesia for a normal vaginal delivery during which the dura was unintentionally punctured. Magnetic resonance imaging revealed diffuse pachymeningeal enhancement, typically seen after dural puncture. Resolution was spontaneous.ConclusionPuncture of the dura should be considered when acute strabismus is diagnosed shortly after epidural anesthesia.
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