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Diplopia developed by cervical traction after cervical spine surgery
Diplopia is a rare complication of spine surgery. The abducens nerve is one of the cranial nerves most commonly related to diplopia caused by traction injury. We report a case of a 71-year-old woman who presented with diplopia developing from abducens nerve palsy after C1–C2 fixation and fusion due...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Yeungnam University College of Medicine
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8016621/ https://www.ncbi.nlm.nih.gov/pubmed/32723983 http://dx.doi.org/10.12701/yujm.2020.00241 |
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author | Kim, Ji-Yoon Kim, Hyuna Kang, So Jeong Kim, Hyunjee Lee, Young-Seok |
author_facet | Kim, Ji-Yoon Kim, Hyuna Kang, So Jeong Kim, Hyunjee Lee, Young-Seok |
author_sort | Kim, Ji-Yoon |
collection | PubMed |
description | Diplopia is a rare complication of spine surgery. The abducens nerve is one of the cranial nerves most commonly related to diplopia caused by traction injury. We report a case of a 71-year-old woman who presented with diplopia developing from abducens nerve palsy after C1–C2 fixation and fusion due to atlantoaxial subluxation with cord compression. As soon as we discovered the symptoms, we suspected excessive traction by the instrument and subsequently performed reoperation. Subsequently, the patient’s symptoms improved. In other reported cases we reviewed, most were transient. However, we thought that our rapid response also helped the patient’s fast recovery in this case. The mechanisms by which postoperative diplopia develops vary and, thus, remain unclear. We should pay attention to the fact that the condition is sometimes an indicator of an underlying, life-threatening condition. Therefore, all patients with postoperative diplopia should undergo thorough ophthalmological and neurological evaluations as well as careful observation by a multidisciplinary team. |
format | Online Article Text |
id | pubmed-8016621 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Yeungnam University College of Medicine |
record_format | MEDLINE/PubMed |
spelling | pubmed-80166212021-04-07 Diplopia developed by cervical traction after cervical spine surgery Kim, Ji-Yoon Kim, Hyuna Kang, So Jeong Kim, Hyunjee Lee, Young-Seok Yeungnam Univ J Med Case Report Diplopia is a rare complication of spine surgery. The abducens nerve is one of the cranial nerves most commonly related to diplopia caused by traction injury. We report a case of a 71-year-old woman who presented with diplopia developing from abducens nerve palsy after C1–C2 fixation and fusion due to atlantoaxial subluxation with cord compression. As soon as we discovered the symptoms, we suspected excessive traction by the instrument and subsequently performed reoperation. Subsequently, the patient’s symptoms improved. In other reported cases we reviewed, most were transient. However, we thought that our rapid response also helped the patient’s fast recovery in this case. The mechanisms by which postoperative diplopia develops vary and, thus, remain unclear. We should pay attention to the fact that the condition is sometimes an indicator of an underlying, life-threatening condition. Therefore, all patients with postoperative diplopia should undergo thorough ophthalmological and neurological evaluations as well as careful observation by a multidisciplinary team. Yeungnam University College of Medicine 2020-07-29 /pmc/articles/PMC8016621/ /pubmed/32723983 http://dx.doi.org/10.12701/yujm.2020.00241 Text en Copyright © 2021 Yeungnam University College of Medicine This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Kim, Ji-Yoon Kim, Hyuna Kang, So Jeong Kim, Hyunjee Lee, Young-Seok Diplopia developed by cervical traction after cervical spine surgery |
title | Diplopia developed by cervical traction after cervical spine surgery |
title_full | Diplopia developed by cervical traction after cervical spine surgery |
title_fullStr | Diplopia developed by cervical traction after cervical spine surgery |
title_full_unstemmed | Diplopia developed by cervical traction after cervical spine surgery |
title_short | Diplopia developed by cervical traction after cervical spine surgery |
title_sort | diplopia developed by cervical traction after cervical spine surgery |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8016621/ https://www.ncbi.nlm.nih.gov/pubmed/32723983 http://dx.doi.org/10.12701/yujm.2020.00241 |
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