Acute esotropia after epidural anesthesia

Yossi Yatziv*, Chaim Stolowitch, Yoram Segev, Anat Kesler

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


BACKGROUND: Cranial 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. CASE: A 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. CONCLUSION: Puncture of the dura should be considered when acute strabismus is diagnosed shortly after epidural anesthesia.

Original languageEnglish
Pages (from-to)540-541
Number of pages2
JournalObstetrics and Gynecology
Issue number2 PART 2
StatePublished - Feb 2008


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