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Postoperative visual loss following dorsal root entry zone rhizotomy: A dreaded complication after a benign procedure

Postoperative visual loss (POVL) is a rare but grave postoperative complication. It has been mainly reported in patients undergoing cardiac and spinal surgeries. Dorsal root entry zone (DREZ) is pain relieving procedure performed in patients with refractory neuropathic pain with minimal complication...

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Autores principales: Mishra, RK, Mahajan, C, Bindra, A, Goyal, K
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5044734/
https://www.ncbi.nlm.nih.gov/pubmed/27833493
http://dx.doi.org/10.4103/1658-354X.177337
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author Mishra, RK
Mahajan, C
Bindra, A
Goyal, K
author_facet Mishra, RK
Mahajan, C
Bindra, A
Goyal, K
author_sort Mishra, RK
collection PubMed
description Postoperative visual loss (POVL) is a rare but grave postoperative complication. It has been mainly reported in patients undergoing cardiac and spinal surgeries. Dorsal root entry zone (DREZ) is pain relieving procedure performed in patients with refractory neuropathic pain with minimal complication rate. We present a case of unilateral POVL following DREZ rhizotomy in prone position in a patient having brachial plexus neuropathy. Exact etiology of vision loss was though not clear; hypotension, use of vasopressors and hemodilution may have led to vision loss in this patient. This case report highlights the associated risk factors for development of this hazardous complication.
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spelling pubmed-50447342016-11-11 Postoperative visual loss following dorsal root entry zone rhizotomy: A dreaded complication after a benign procedure Mishra, RK Mahajan, C Bindra, A Goyal, K Saudi J Anaesth Case Report Postoperative visual loss (POVL) is a rare but grave postoperative complication. It has been mainly reported in patients undergoing cardiac and spinal surgeries. Dorsal root entry zone (DREZ) is pain relieving procedure performed in patients with refractory neuropathic pain with minimal complication rate. We present a case of unilateral POVL following DREZ rhizotomy in prone position in a patient having brachial plexus neuropathy. Exact etiology of vision loss was though not clear; hypotension, use of vasopressors and hemodilution may have led to vision loss in this patient. This case report highlights the associated risk factors for development of this hazardous complication. Medknow Publications & Media Pvt Ltd 2016 /pmc/articles/PMC5044734/ /pubmed/27833493 http://dx.doi.org/10.4103/1658-354X.177337 Text en Copyright: © Saudi Journal of Anaesthesia http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Case Report
Mishra, RK
Mahajan, C
Bindra, A
Goyal, K
Postoperative visual loss following dorsal root entry zone rhizotomy: A dreaded complication after a benign procedure
title Postoperative visual loss following dorsal root entry zone rhizotomy: A dreaded complication after a benign procedure
title_full Postoperative visual loss following dorsal root entry zone rhizotomy: A dreaded complication after a benign procedure
title_fullStr Postoperative visual loss following dorsal root entry zone rhizotomy: A dreaded complication after a benign procedure
title_full_unstemmed Postoperative visual loss following dorsal root entry zone rhizotomy: A dreaded complication after a benign procedure
title_short Postoperative visual loss following dorsal root entry zone rhizotomy: A dreaded complication after a benign procedure
title_sort postoperative visual loss following dorsal root entry zone rhizotomy: a dreaded complication after a benign procedure
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5044734/
https://www.ncbi.nlm.nih.gov/pubmed/27833493
http://dx.doi.org/10.4103/1658-354X.177337
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