Unilateral abducent nerve palsy: A rare complication following a le fort i maxillary osteotomy following a le fort I maxillary osteotomy

1984 ◽  
Vol 22 (3) ◽  
pp. 212-215 ◽  
Author(s):  
P.G. Watts
Keyword(s):  
Nerve Palsy ◽  
Rare Complication ◽  
Le Fort ◽  
Maxillary Osteotomy ◽  
Abducent Nerve Palsy ◽  
Abducent Nerve ◽  
Le Fort I

Isolated Abducent Nerve Palsy after Microvascular Decompression for Trigeminal Neuralgia: Case Report

Neurosurgery ◽  
2005 ◽  
Vol 57 (6) ◽  
pp. E1317-E1317
Author(s):  
Kishor A. Choudhari
Keyword(s):  
Trigeminal Neuralgia ◽  
Basilar Artery ◽  
Microvascular Decompression ◽  
Nerve Palsy ◽  
Rare Complication ◽  
Complete Relief ◽  
Sixth Nerve Palsy ◽  
Abducent Nerve Palsy ◽  
Abducent Nerve ◽  
Sixth Nerve

Abstract OBJECTIVE AND IMPORTANCE: Microvascular decompression (MVD) is a safe and effective treatment for trigeminal neuralgia. Isolated postoperative ipsilateral abducent nerve palsy is an extremely rare complication of this procedure and has not been reported before. The author wishes to report this rare complication, discuss its aetio-pathogenesis and the natural course. CLINICAL PRESENTATION: A 57-year-old man underwent MVD for right sided medically refractory trigeminal neuralgia based on the MRI finding of ectatic basilar artery compression at its root entry zone. The procedure was uneventful with complete relief of pain. However, he developed isolated ipsilateral sixth nerve palsy following surgery that lasted for six weeks. INTERVENTION: Anterior displacement of tortuous and dilated basilar artery to create space between the artery and the nerve during MVD operation probably resulted in inadvertent neuropraxia to the abducent nerve that was located immediately anterior to the artery but was not in the surgical field. Immediate sixth nerve palsy resulted post-operatively. A conservative route was adopted with spontaneous improvement of the extraocular eye movements after six weeks. CONCLUSION: Isolated abducent nerve damage is a rare complication of the MVD procedure. Surgical manipulation of the dilated and tortuous vessels located anterior to the trigeminal nerve may cause indirect stretching of the delicate abducent nerve with resultant neuropraxia. This complication is difficult to recognize and prevent intra-operatively as the nerve lies on the far side of the artery. Fortunately, spontaneous recovery of the neural function seems to be the most likely outcome.

A rare complication of Le Fort I maxillary advancement surgery

2016 ◽  
Vol 54 (10) ◽  
pp. e136
Author(s):  
Farah Kanji ◽  
Nabeel Bhatti ◽  
Nayeem Ali
Keyword(s):  
Rare Complication ◽  
Le Fort ◽  
Maxillary Advancement ◽  
Le Fort I

Abducent nerve palsy during treatment of brucellosis

2003 ◽  
Vol 105 (3) ◽  
pp. 218-220 ◽  
Author(s):  
Mesut Yilmaz ◽  
Resat Ozaras ◽  
Ali Mert ◽  
Recep Ozturk ◽  
Fehmi Tabak
Keyword(s):  
Nerve Palsy ◽  
Abducent Nerve Palsy ◽  
Abducent Nerve

scholarly journals Vertex epidural hematoma with bilateral abducent nerve palsy-case report and literature review

2010 ◽  
Author(s):  
Khursheed Nayil ◽  
Masood Laharwal ◽  
Anil Dhar ◽  
Abrar Wani ◽  
Altaf Ramzan ◽  
...  
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Nerve Palsy ◽  
Epidural Hematoma ◽  
Abducent Nerve Palsy ◽  
Abducent Nerve

scholarly journals Abducent nerve palsy treated by microvascular decompression: a case report and review of the literature

2015 ◽  
Vol 157 (10) ◽  
pp. 1801-1805 ◽  
Author(s):  
Tomosato Yamazaki ◽  
Tetsuya Yamamoto ◽  
Toru Hatayama ◽  
Alexander Zaboronok ◽  
Eiichi Ishikawa ◽  
...  
Keyword(s):  
Case Report ◽  
Microvascular Decompression ◽  
Nerve Palsy ◽  
Review Of The Literature ◽  
Abducent Nerve Palsy ◽  
Abducent Nerve

scholarly journals Magnetic resonance imaging findings of isolated abducent nerve palsy induced by vascular compression of vertebrobasilar dolichoectasia

2017 ◽  
Vol 08 (01) ◽  
pp. 124-127 ◽  
Author(s):  
Hidetaka Arishima ◽  
Ken-ichiro Kikuta
Keyword(s):  
Magnetic Resonance ◽  
General Condition ◽  
Nerve Palsy ◽  
Laboratory Data ◽  
Vascular Compression ◽  
Neurovascular Compression ◽  
Vertebrobasilar Dolichoectasia ◽  
Vertebrobasilar Artery ◽  
Abducent Nerve Palsy ◽  
Abducent Nerve

ABSTRACTIf the origin of isolated abducent nerve palsy cannot be found on neuroradiological examinations, diabetes mellitus is known as a probable cause; however, some cases show no potential causes of isolated abducent nerve palsy. Here, we report a 74-year-old male who suffered from diplopia due to isolated left abducent nerve palsy. Magnetic resonance angiography and fast imaging employing steady-state acquisition imaging clearly showed a dolichoectasic vertebrobasilar artery compressing the left abducent nerve upward and outward. There were no abnormal lesions in the brain stem, cavernous sinus, or orbital cavity. Laboratory data showed no abnormal findings. We concluded that neurovascular compression of the left abducent nerve might cause isolated left abducent nerve palsy. We observed him without surgical treatment considering his general condition with angina pectoris and old age. His symptom due to the left abducent nerve palsy persisted. From previous reports, conservative treatment could not improve abducent nerve palsy. Microvascular decompression should be considered for abducent nerve palsy due to vascular compression if patients are young, and their general condition is good. We also discuss interesting characteristics with a review of the literature.

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