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Abducens Palsy Following Shunting for Hydrocephalus

Published online by Cambridge University Press:  18 September 2015

J.A. Espinosa ,
M. Giroux ,
K. Johnston ,
T. Kirkham  and
J.G. Villemure
J.A. Espinosa*
Affiliation:
Division of Neurosurgery (J.A.E., M.G., K.J., J.G.V.) and Neuro-ophthalmology (T.K.), Montreal Neurological Institute, McGill University. Montreal
M. Giroux
Affiliation:
Division of Neurosurgery (J.A.E., M.G., K.J., J.G.V.) and Neuro-ophthalmology (T.K.), Montreal Neurological Institute, McGill University. Montreal
K. Johnston
Affiliation:
Division of Neurosurgery (J.A.E., M.G., K.J., J.G.V.) and Neuro-ophthalmology (T.K.), Montreal Neurological Institute, McGill University. Montreal
T. Kirkham
Affiliation:
Division of Neurosurgery (J.A.E., M.G., K.J., J.G.V.) and Neuro-ophthalmology (T.K.), Montreal Neurological Institute, McGill University. Montreal
J.G. Villemure
Affiliation:
Division of Neurosurgery (J.A.E., M.G., K.J., J.G.V.) and Neuro-ophthalmology (T.K.), Montreal Neurological Institute, McGill University. Montreal
*
Montreal Neurological Institute, 3801 University Street, Montreal, Quebec, Canada H3A 2B4
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Abstract:

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Over a period of 12 years, 80 patients underwent ventricular shunting for normal pressure hydrocephalus. Three developed sixth cranial nerve palsy in the first two weeks after surgery. This uncommon complication is usually transitory following the same pattern of abducens palsy after lumbar puncture or spinal anesthesia. Traction on the nerve with local ischemia has been involved as the responsible mechanism in both instances.

Type
Research Article
Information
Canadian Journal of Neurological Sciences , Volume 20 , Issue 2 , May 1993 , pp. 123 - 125
Copyright
Copyright © Canadian Neurological Sciences Federation 1993

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