• A&A practice · Jan 2020

    Case Reports

    Loss of Corneal Reflex in Children Undergoing Spinal Anesthesia: A Case Series.

    • Ashlee E Holman and Michael P Puglia.
    • From the Department of Anesthesiology, C. S. Mott Children's Hospital, University of Michigan Medical School, Ann Arbor, Michigan.
    • A A Pract. 2020 Jan 1; 14 (1): 9-11.

    AbstractSpinal anesthesia is administered for select procedures in the pediatric population and offers a safe alternative to general anesthesia. In this case series, we report loss of corneal and eyelash reflexes in 4 children who underwent spinal anesthesia for lower abdominal procedures. While initially thought to be the result of higher-than-intended spinal anesthesia, the observation that gentle stimulation produced vigorous phonation, orbicularis oculi constriction, and upper extremity movement suggests an alternative mechanism. This finding highlights a potential gap in knowledge related to the effect spinal anesthesia has on brain dynamics in children.

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