Divergence paresis without positional headache: an unusual presentation of cerebrospinal fluid hypovolemia after spinal anesthesia.


:We report a rare complication of spinal anesthesia-divergence paresis-which is characterized by an acquired horizontal diplopia at distance without evidence for abducens palsy. A 64-yr-old man underwent prostatectomy under spinal anesthesia with 2.5 mL of dibucaine hydrochloride 0.3% injected through a 20-gauge cutting-tip spinal needle. Seventeen days after the operation, the patient noticed horizontal diplopia for distant objects. Although cranial magnetic resonance imaging demonstrated diffuse pachymeningeal gadolinium enhancement and subdural effusion, characteristic findings of cerebrospinal fluid hypovolemia, the patient had no positional headache. Gadolinium-enhanced magnetic resonance imaging may be useful when a patient develops neurologic symptoms after dural puncture.


Anesth Analg


Anesthesia and analgesia


Arai M,Matsushima S,Terada H




Has Abstract


2006-06-01 00:00:00














  • Recompression and adjunctive therapy for decompression illness: a systematic review of randomized controlled trials.

    abstract:INTRODUCTION:Decompression illness (DCI) is caused by bubble formation in the blood or tissues after a reduction in ambient pressure. Clinically, DCI may range from a trivial illness to paralysis, loss of consciousness, cardiovascular collapse, and death. Recompression is the universally accepted standard for the treat...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章,meta分析,评审


    authors: Bennett MH,Lehm JP,Mitchell SJ,Wasiak J

    更新日期:2010-09-01 00:00:00

  • An in situ technique to retrieve an entrapped j-tip guidewire from an inferior vena cava filter.

    abstract:IMPLICATIONS:Entrapment of a guidewire in the vena cava filter during central venous catheter placement is a newly recognized complication. Complex techniques have been described to free the guidewire. We describe a simple in situ technique that may free the guidewire without the application of complex techniques. ...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章


    authors: Munir MA,Chien SQ

    更新日期:2002-08-01 00:00:00

  • Perioperative Duloxetine to Improve Postoperative Recovery After Abdominal Hysterectomy: A Prospective, Randomized, Double-Blinded, Placebo-Controlled Study.

    abstract:BACKGROUND:Postsurgical quality of recovery is worse in female than that in male patients. Duloxetine has been used successfully for the treatment of chronic pain conditions, but its use for preventing acute postoperative pain has been limited to a single previous study. More importantly, the effect of preoperative dul...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章,随机对照试验


    authors: Castro-Alves LJ,Oliveira de Medeiros AC,Neves SP,Carneiro de Albuquerque CL,Modolo NS,De Azevedo VL,De Oliveira GS Jr

    更新日期:2016-01-01 00:00:00

  • Propofol preserves the viability of isolated rat hepatocyte suspensions under an oxidant stress.

    abstract:UNLABELLED:The purpose of this study was to investigate whether propofol protects rat hepatocyte suspensions against an oxidant attack by a free radical generator 2,2'-azobis (2-amidinopropane) dihydrochloride (AAPH). Rat hepatocyte suspensions (2 x 10(6) cells/mL) were prepared using Seglen's collagenase perfusion tec...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章


    authors: Navapurkar VU,Skepper JN,Jones JG,Menon DK

    更新日期:1998-11-01 00:00:00

  • Enhancement of α5-containing γ-aminobutyric acid type A receptors by the nonimmobilizer 1,2-dichlorohexafluorocyclobutane (F6) is abolished by the β3(N265M) mutation.

    abstract:BACKGROUND:Modulation of γ-aminobutyric acid type A receptors (GABAARs) by general anesthetics may contribute to their ability to produce amnesia. Receptors containing α5 subunits, which mediate tonic and slow synaptic inhibition, are co-localized with β3 and γ2 subunits in dendritic layers of the hippocampus and are s...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章


    authors: Burkat PM,Lor C,Perouansky M,Pearce RA

    更新日期:2014-12-01 00:00:00

  • Droperidol causes a dose-dependent prolongation of the QT interval.

    abstract::To further investigate possible prolongation of the frequency-corrected QT interval (QTc interval) after administration of droperidol (DRO), we studied 40 surgical patients who were randomly assigned to one of three groups, receiving an intravenous (IV) injection of either 0.1 mg/kg (Group 1, n = 10), 0.175 mg/kg (Gro...

    journal_title:Anesthesia and analgesia

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Lischke V,Behne M,Doelken P,Schledt U,Probst S,Vettermann J

    更新日期:1994-11-01 00:00:00

  • Treatments to support blood pressure increases bleeding and/or decreases survival in a rat model of closed head trauma combined with uncontrolled hemorrhage.

    abstract:UNLABELLED:Hemorrhagic hypotension may aggravate the detrimental effects of head trauma on neurologic outcome. Our study examined whether using phenylephrine or large volumes of saline IV to increase mean arterial blood pressure (MAP) to 70, 80, or 90 mm Hg during the combination of head trauma and uncontrolled hemorrh...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章


    authors: Talmor D,Merkind V,Artru AA,Shapiro O,Geva D,Roytblat L,Shapira Y

    更新日期:1999-10-01 00:00:00

  • Absence of autoregulation of cerebral blood flow during halothane and enflurane anesthesia.

    abstract::The effects of halothane and enflurane anesthesia under conditions of normo-, hyper-, and hypocarbia on the autoregulation of cerebral blood flow (CBF) in the goat were evaluated. The goat was selected because of its unique arterial blood supply to the head and the development of a method by which CBF may be continuou...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章


    authors: Miletich DJ,Ivankovich AD,Albrecht RF,Reimann CR,Rosenberg R,McKissic ED

    更新日期:1976-01-01 00:00:00

  • Cerebellar hemorrhage caused by cerebrospinal fluid leak after spine surgery.

    abstract::Spine surgery is associated with a wide range of surgical and anesthetic complications. Excessive cerebrospinal fluid leak can be a cause of cerebellar hemorrhage postoperatively. We report a 43-yr-old patient who had lumbar spine reexploration surgery complicated by a cerebrospinal fluid leak which led to cerebellar ...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章


    authors: Farag E,Abdou A,Riad I,Borsellino SR,Schubert A

    更新日期:2005-02-01 00:00:00

  • Abnormal Calcium Levels During Trauma Resuscitation Are Associated With Increased Mortality, Increased Blood Product Use, and Greater Hospital Resource Consumption: A Pilot Investigation.

    abstract:BACKGROUND:Admission hypocalcemia predicts both massive transfusion and mortality in severely injured patients. However, the effect of calcium derangements during resuscitation remains unexplored. We hypothesize that any hypocalcemia or hypercalcemia (either primary or from overcorrection) in the first 24 hours after s...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章


    authors: MacKay EJ,Stubna MD,Holena DN,Reilly PM,Seamon MJ,Smith BP,Kaplan LJ,Cannon JW

    更新日期:2017-09-01 00:00:00

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    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章,随机对照试验


    authors: White PF,Tang J,Song D,Coleman JE,Wender RH,Ogunnaike B,Sloninsky A,Kapu R,Shah M,Webb T

    更新日期:2007-01-01 00:00:00

  • A Retrospective Analysis of Clinical Research Misconduct Using FDA-Issued Warning Letters and Clinical Investigator Inspection List From 2010 to 2014.

    abstract:BACKGROUND:The US Food and Drug Administration (FDA) conducts inspections of clinical investigation sites as a component of clinical trial regulation. The FDA describes the results of these inspections in the Clinical Investigator Inspection List (CLIIL). More serious violations are followed up in FDA warning letters i...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章


    authors: Romano CA,Nair S,Delphin ES

    更新日期:2018-03-01 00:00:00

  • Review articles: postoperative delirium: acute change with long-term implications.

    abstract::Delirium is an acute change in cognition and attention, which may include alterations in consciousness and disorganized thinking. Although delirium may affect any age group, it is most common in older patients, especially those with preexisting cognitive impairment. Patients with delirium after surgery recover more sl...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章,评审


    authors: Rudolph JL,Marcantonio ER

    更新日期:2011-05-01 00:00:00

  • The effects of load on systolic mitral annular velocity by tissue Doppler imaging.

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    journal_title:Anesthesia and analgesia

    pub_type: 临床试验,杂志文章


    authors: Amà R,Segers P,Roosens C,Claessens T,Verdonck P,Poelaert J

    更新日期:2004-08-01 00:00:00

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    journal_title:Anesthesia and analgesia

    pub_type: 临床试验,杂志文章


    authors: Yamakage M,Kawana S,Watanabe H,Namiki A

    更新日期:1993-04-01 00:00:00

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    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章


    authors: Grensemann J,Bruecken U,Treszl A,Wappler F,Sakka SG

    更新日期:2013-04-01 00:00:00

  • Morphine kinetics and kidney transplantation: morphine removal is influenced by renal ischemia.

    abstract::Morphine plasma concentrations were determined in six patients receiving kidney transplants from living-related donors, and nine patients receiving kidney transplants from cadavers. The total cold ischemic time was about 2 hr for kidneys from living-related donors and 14 hr for those from cadavers. After an intravenou...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章


    authors: Sear J,Moore A,Hunniset A,Baldwin D,Allen M,Hand C,McQuay H,Morris P

    更新日期:1985-11-01 00:00:00

  • Intraoperative ventilatory strategies for prevention of pulmonary atelectasis in obese patients undergoing laparoscopic bariatric surgery.

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    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章,随机对照试验


    authors: Talab HF,Zabani IA,Abdelrahman HS,Bukhari WL,Mamoun I,Ashour MA,Sadeq BB,El Sayed SI

    更新日期:2009-11-01 00:00:00

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    journal_title:Anesthesia and analgesia

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Wierda JM,van den Broek L,Proost JH,Verbaan BW,Hennis PJ

    更新日期:1993-09-01 00:00:00

  • Joint hypothesis testing and gatekeeping procedures for studies with multiple endpoints.

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    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章


    authors: Mascha EJ,Turan A

    更新日期:2012-06-01 00:00:00

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    journal_title:Anesthesia and analgesia

    pub_type: 临床试验,杂志文章,随机对照试验,收录出版


    authors: Boldt J,Zickmann B,Ballesteros BM,Stertmann F,Hempelmann G

    更新日期:1992-02-01 00:00:00

  • Influencing Anesthesia Provider Behavior Using Anesthesia Information Management System Data for Near Real-Time Alerts and Post Hoc Reports.

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    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章,评审


    authors: Epstein RH,Dexter F,Patel N

    更新日期:2015-09-01 00:00:00

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    abstract::Previous studies have demonstrated that, with the exception of atracurium, resistance to the neuromuscular blocking effects of various muscle relaxants develops in patients receiving anticonvulsant therapy. We studied the effects of 0.5 mg/kg IV atracurium in 53 neurosurgical patients: 21 nonepileptic patients receivi...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章


    authors: Tempelhoff R,Modica PA,Jellish WS,Spitznagel EL

    更新日期:1990-12-01 00:00:00

  • Assessment of Tricuspid Annular Motion by Speckle Tracking in Anesthetized Patients Using Transesophageal Echocardiography.

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    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章


    authors: Shen T,Picard MH,Hua L,Burns SM,Andrawes MN

    更新日期:2018-01-01 00:00:00

  • Intravenous dexmedetomidine inhibits cerebrovascular dilation induced by isoflurane and sevoflurane in dogs.

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    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章


    authors: Ohata H,Iida H,Dohi S,Watanabe Y

    更新日期:1999-08-01 00:00:00

  • Epidural labor analgesia and neonatal sepsis evaluation rate: a quality improvement study.

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    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章


    authors: Kaul B,Vallejo M,Ramanathan S,Mandell G

    更新日期:2001-10-01 00:00:00

  • Paravertebral blockade for day-case breast augmentation: a randomized clinical trial.

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    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章,随机对照试验


    authors: Gardiner S,Rudkin G,Cooter R,Field J,Bond M

    更新日期:2012-11-01 00:00:00

  • Lumbar segmental nerve blocks with local anesthetics, pain relief, and motor function: a prospective double-blind study between lidocaine and ropivacaine.

    abstract::Selective segmental nerve blocks with local anesthetics are applied for diagnostic purposes in patients with chronic back pain to determine the segmental level of the pain. We performed this study to establish myotomal motor effects after L4 spinal nerve blocks by lidocaine and ropivacaine and to evaluate the relation...

    journal_title:Anesthesia and analgesia

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Wolff AP,Wilder Smith OH,Crul BJ,van de Heijden MP,Groen GJ

    更新日期:2004-08-01 00:00:00

  • The effects of dobutamine and phenylephrine on atrioventricular conduction during combined use of halothane and thoracic epidural lidocaine.

    abstract::The purpose of this study was to measure cardiac sympathetic nerve activity (CSNA) and atrioventricular (AV) conduction and to test the effects of dobutamine (DOB) and phenylephrine (PHE) on AV conduction during combined use of halothane and thoracic epidural lidocaine. Cats were anesthetized with 1 % halothane and an...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章


    authors: Nishikawa K,Yabe M,Mori T,Terai T,Yukioka H,Fujimori M

    更新日期:1996-03-01 00:00:00

  • Management of an unusual complication during placement of a pulmonary artery catheter.

    abstract::We describe an unusual complication during flotation of a pulmonary artery catheter through a preexisting percutaneous introducer sheath. A malfunctioning pulmonary artery catheter, which was placed through an introducer sheath in the right internal jugular vein, was removed. Attempts at repositioning a second pulmona...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章


    authors: Bhatia P,Saied NN,Comunale ME

    更新日期:2004-09-01 00:00:00