Unintentional paediatric subdural catheter with oculomotor and abducens nerve palsies.
A 13-year-old female with a past history of lumbar laminectomy developed a subdural block 18 h after the commencement of an epidural infusion of bupivacaine 0.125% and fentanyl 2 micrograms.ml-1. Signs at presentation included bilateral abducens nerve palsies in the absence of headache and a previously unreported unilateral third cranial nerve palsy. An epidurogram displayed subdural placement.
Haughton
A J
AJ
Department of Anaesthesia, Royal Children's Hospital, Parkville, Australia.
Chalkiadis
G A
GA
D020434:Abducens Nerve Diseases / Q000175:diagnosis / Q000209:etiology*; D000701:Analgesics, Opioid; D000767:Anesthesia, Epidural / Q000009:adverse effects*; D000779:Anesthetics, Local; D002045:Bupivacaine; D002404:Catheterization / Q000009:adverse effects*; D002648:Child; D005260:Female; D005283:Fentanyl; D006801:Humans; D019300:Medical Errors; D015840:Oculomotor Nerve Diseases / Q000175:diagnosis / Q000209:etiology*; D013355:Subdural Space
D000701:Analgesics, Opioid; D000779:Anesthetics, Local; D005283:Fentanyl; D002045:Bupivacaine