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Bilateral Sixth-Nerve Palsy: A Rare Complication of Water-Soluble Contrast Myelography

Bilateral Sixth-Nerve Palsy: A Rare Complication of Water-Soluble Contrast Myelography Abstract • The appearance of bilateral sixth-nerve palsy is usually a harbinger of serious intracranial disease or a nonspecific sign of increased intracranial pressure from any cause. Although unilateral sixth-nerve palsy is a well-recognized complication of lumbar puncture, the appearance of bilateral sixth-nerve palsy following water-soluble myelography is not generally recognized. We describe our experience with three patients and emphasize the benign and self-limiting character of these bilateral sixth-nerve palsies. References 1. Vandam LD, Duppi RD: Long-term follow-up of patients who received 10,098 spinal anesthetics: II. Incidence and analysis of minor sensory neurological defects . Surgery 1955;38:458-463. 2. Vandam LD, Duppi RD: Long-term follow-up of patients who received 10,098 spinal anesthetics: III. Syndrome of decreased intracranial pressure (headache and ocular and auditory difficulties) . JAMA 1956;161:579-586. 3. Vandam LD, Duppi RD: Long-term follow-up of patients who received 10,098 spinal anesthetics: IV. Neurological disease incident to traumatic lumbar puncture during spinal anesthesia . JAMA 1960;172:1478-1483. 4. Thorsen G: Neurologic complications after spinal anesthesia . Acta Chir Scand 1977;121( (suppl) ):1-272. 5. Seyfert S, Mager J: Abducens palsy after lumbar myelography with water-soluble contrast media . J Neurol 1978;219:213-220.Crossref 6. Mason M, Raaf J: Complications of Pantopaque myelography . J Neurosurg 1962;19:302-310.Crossref 7. Steinhauser TB, Dugan CE, Furst JB, et al: Iodinated organic compounds as contrast media for radiographic diagnosis: III. Experimental and clinical myelography with ethyl iodopheny-lundecylate (Pantopaque) . Radiology 1944;43:230-334.Crossref 8. Wolff E: A bend in the sixth cranial nerve and its possible significance . Br J Ophthalmol 1928;12:22-24.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Bilateral Sixth-Nerve Palsy: A Rare Complication of Water-Soluble Contrast Myelography

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Publisher
American Medical Association
Copyright
Copyright © 1982 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1982.01030030605012
Publisher site
See Article on Publisher Site

Abstract

Abstract • The appearance of bilateral sixth-nerve palsy is usually a harbinger of serious intracranial disease or a nonspecific sign of increased intracranial pressure from any cause. Although unilateral sixth-nerve palsy is a well-recognized complication of lumbar puncture, the appearance of bilateral sixth-nerve palsy following water-soluble myelography is not generally recognized. We describe our experience with three patients and emphasize the benign and self-limiting character of these bilateral sixth-nerve palsies. References 1. Vandam LD, Duppi RD: Long-term follow-up of patients who received 10,098 spinal anesthetics: II. Incidence and analysis of minor sensory neurological defects . Surgery 1955;38:458-463. 2. Vandam LD, Duppi RD: Long-term follow-up of patients who received 10,098 spinal anesthetics: III. Syndrome of decreased intracranial pressure (headache and ocular and auditory difficulties) . JAMA 1956;161:579-586. 3. Vandam LD, Duppi RD: Long-term follow-up of patients who received 10,098 spinal anesthetics: IV. Neurological disease incident to traumatic lumbar puncture during spinal anesthesia . JAMA 1960;172:1478-1483. 4. Thorsen G: Neurologic complications after spinal anesthesia . Acta Chir Scand 1977;121( (suppl) ):1-272. 5. Seyfert S, Mager J: Abducens palsy after lumbar myelography with water-soluble contrast media . J Neurol 1978;219:213-220.Crossref 6. Mason M, Raaf J: Complications of Pantopaque myelography . J Neurosurg 1962;19:302-310.Crossref 7. Steinhauser TB, Dugan CE, Furst JB, et al: Iodinated organic compounds as contrast media for radiographic diagnosis: III. Experimental and clinical myelography with ethyl iodopheny-lundecylate (Pantopaque) . Radiology 1944;43:230-334.Crossref 8. Wolff E: A bend in the sixth cranial nerve and its possible significance . Br J Ophthalmol 1928;12:22-24.Crossref

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Apr 1, 1982

References