Abducens nerve palsy associated with pseudomeningocele after cervical spine surgery: a case report.

ABSTRACT:

Background

Cerebrospinal fluid leakage can cause abducens nerve palsy (ANP) secondary to downward brain traction, caused by intracranial hypotension. We present the first case after cervical fixation and fusion with spinal cord decompression.

Case description

We present a 65-year-old male, who undergone C5-C6 decompression by laminectomy and C3-T2 fixation and fusion, without intraoperative complications. Two months later, the patient referred a 2-week history of diplopia, with no other accompanying symptom. Clinical examination revealed a lack of lateral gaze of the left eye. Cervical MRI disclosed findings compatible with pseudomeningocele. Given the time of evolution, the subacute clinical findings and the absence of image or clinical data of infection or intracranial hyp

SUBMITTER: Hernandez-Mateo JM 

PROVIDER: S-EPMC10082435 | biostudies-literature | 2023 Mar

REPOSITORIES: biostudies-literature