title: Medial rectus muscle palsy after dental anesthesia.
abstract: A 42-year-old woman developed a transient partial third cranial nerve palsy after a supraperiosteal injection in the area of the middle superior alveolar nerve with mepivacaine HCl for dental anesthesia. This effect may have been caused by direct extension through a bony defect rather than by inadvertent intravascular injection of the anesthetic. Dentists and ophthalmologists should be aware of this phenomenon, which can result in permanent ocular palsy and even amaurosis.
mesh_terms: D000328:Adult; D000766:Anesthesia, Dental / Q000009:adverse effects*; D004172:Diplopia / Q000209:etiology; D005260:Female; D006801:Humans; D008297:Male; D008619:Mepivacaine / Q000008:administration & dosage / Q000009:adverse effects*; D008875:Middle Aged; D009802:Oculomotor Nerve; D009886:Ophthalmoplegia / Q000209:etiology*
chemical_list: D008619:Mepivacaine