Abducens Nerve Palsy Associated With Pseudomeningocele After Lumbar Disc Surgery

Thomas, Ashok; Shetty, Ajoy Prasad; Rajasekaran, Shanmuganathan

doi:10.1097/brs.0b013e3182373b95

Cited by 17 publications

(21 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A recent, review guide devoted to the treatment of spontaneous intracranial hypotension recommended fibrin sealant as one method to close an identified leak [227]. A case report used fibrin sealant to help seal a dural CSF leak causing a pseudomeningocele following lumbar disc surgery with a subsequent complete resolution of a concomitant abducens nerve palsy and diplopia [228]. Several papers address the role of fibrin sealant in nerve repair including an end to side nerve repair in rats [229] and a facial nerve repair in dogs [230] failing to find a fibrin sealant benefit and a favorable report of using a fibrin conduit for mesenchymal stem cells particularly in the presence of cylcosporine to enhance regeneration following peripheral nerve injury in rats [231].…”

Section: Less Frequently Published Clinical Applications Of Fibrinmentioning

confidence: 99%

Fibrin Sealant: The Only Approved Hemostat, Sealant, and Adhesive—a Laboratory and Clinical Perspective

2014

View full text Add to dashboard Cite

Background. Fibrin sealant became the first modern era material approved as a hemostat in the United States in 1998. It is the only agent presently approved as a hemostat, sealant, and adhesive by the Food and Drug Administration (FDA). The product is now supplied as patches in addition to the original liquid formulations. Both laboratory and clinical uses of fibrin sealant continue to grow. The new literature on this material also continues to proliferate rapidly (approximately 200 papers/year). Methods. An overview of current fibrin sealant products and their approved uses and a comprehensive PubMed based review of the recent literature (February 2012, through March 2013) on the laboratory and clinical use of fibrin sealant are provided. Product information is organized into sections based on a classification system for commercially available materials. Publications are presented in sections based on both laboratory research and clinical topics are listed in order of decreasing frequency. Results. Fibrin sealant remains useful hemostat, sealant, and adhesive. New formulations and applications continue to be developed. Conclusions. This agent remains clinically important with the recent introduction of new commercially available products. Fibrin sealant has multiple new uses that should result in further improvements in patient care.

show abstract

Section: Less Frequently Published Clinical Applications Of Fibrinmentioning

confidence: 99%

Fibrin Sealant: The Only Approved Hemostat, Sealant, and Adhesive—a Laboratory and Clinical Perspective

2014

View full text Add to dashboard Cite

show abstract

“…If handled improperly, it may lead to a number of adverse sequelae, such as CSF fistulas (persistent leak through the incision), meningitis, brain abscess, intracranial hemorrhage, hematoma, and neurological deficits 1, 2, 3, 4. Literature review was conducted from the databases of PubMed, Ovid, and Elsevier.…”

mentioning

confidence: 99%

Treatment of cerebrospinal fluid leak after spine surgery

Zhao

Tian

Jia

et al. 2017

Chinese Journal of Traumatology

View full text Add to dashboard Cite

Owing to the complexity of spinal surgery, there is a great prevalence of dural tear causing cerebrospinal fluid (CSF) leakage. Many studies focused on suture repair for dural tear to stop CSF leak. Now some new treatment strategies have shown a promising effect that is listed as follows: 1) creating watertight dural closure to stop CSF leak with the help of dural substitute material; and 2) retarding CSF leak by changing pressure difference, including reducing the subarachnoid fluid pressure, increasing the epidural space pressure and both. In fact several methods mentioned above are usually combined to treat CSF leak. However, no update review summarized the relevant studies implemented in recent years. In this review, the authors would compare the effects of different dural closure techniques, and introduce the latest treatment methods and mechanisms.

show abstract

“…It should be noted, however, that it is very rare to see paralysis of the sixth cranial nerve as a complication of spine surgery [11]. Barsoum et al described some cases of cranial nerve VI paralysis related to traction during the procedure [12], and Abd-Elsayed et al [13] reported paralysis related to facial swelling caused by the intra-operative positioning of the patient.…”

Section: Discussionmentioning

confidence: 99%

“…Orthopaedic scienceNakagawa et al [10]Spinal tumor ResectionFemale22CervicalNoNot identified3 days PostopConservative1 year2009J. Korean Neur SocietyCho et al [14]Posterior FusionMale61Lumbo-SacralNoNot identified2 days PostopConservative5 weeks2012SpineThomas et al [11]DiscectomyMale53LumbarYesIdentified7 days PostopDural Repair2 weeks2012Eur Spine JournalJoo et al [15]DiscectomyMale48Lumbo-SacralNoIdentified3 days PostopDural Repair1 week2013Eur Spine JournalKhurana et al [9]DiscectomyMale48ThoracicNoIdentified>3 weeks PostopDural Repair + Chest drain3 monthsDiscectomyMale46ThoracicNoIdentified"Few days" PostopConservative5 months…”

Section: Discussionmentioning

confidence: 99%

Abducens nerve palsy as a postoperative complication of minimally invasive thoracic spine surgery: a case report

et al. 2016

View full text Add to dashboard Cite

BackgroundThoracic disc surgeries make up only a small number of all spine surgeries performed, but they can have a considerable number of postoperative complications. Numerous approaches have been developed and studied in an attempt to reduce the morbidity associated with the procedure; however, we still encounter cases that develop serious and unexpected outcomes.Case PresentationThis case report presents a patient with abducens nerve palsy after minimally invasive surgery for thoracic disc herniation with an intraoperative spinal fluid fistula. A literature review of all cases related to this complication after spine surgery is included.Despite the uncommon nature of this type of complication, understanding the procedure itself, the principle occurrences and outcomes following the procedure, the physiopathogical features of abducens nerve palsy, and the possible adverse effects of spinal surgery, including minimally invasive procedures, can enable an early diagnosis of complications and facilitate the procedure.ConclusionsIn spite of being very rare and multifactorial, uni- or bilateral abducens nerve paralysis carries significant morbidity and can occur as a postoperative complication after conventional or minimally invasive spine surgery. This condition requires an accurate diagnosis and adequate multidisciplinary follow up.

show abstract

Abducens Nerve Palsy Associated With Pseudomeningocele After Lumbar Disc Surgery

Cited by 17 publications

References 10 publications

Fibrin Sealant: The Only Approved Hemostat, Sealant, and Adhesive—a Laboratory and Clinical Perspective

Fibrin Sealant: The Only Approved Hemostat, Sealant, and Adhesive—a Laboratory and Clinical Perspective

Treatment of cerebrospinal fluid leak after spine surgery

Abducens nerve palsy as a postoperative complication of minimally invasive thoracic spine surgery: a case report

Contact Info

Product

Resources

About