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Occurrence of Trochlear Nerve Palsy after Epiduroscopic Laser Discectomy and Neural Decompression

  • Yoon, Keon Jung (Department of Anesthesiology and Pain Medicine, Daejeon St. Mary's Hospital, The Catholic University of Korea College of Medicine) ;
  • Lee, Eun Ha (Department of Anesthesiology and Pain Medicine, Daejeon St. Mary's Hospital, The Catholic University of Korea College of Medicine) ;
  • Kim, Su Hwa (Department of Anesthesiology and Pain Medicine, Daejeon St. Mary's Hospital, The Catholic University of Korea College of Medicine) ;
  • Noh, Mi Sun (Department of Anesthesiology and Pain Medicine, Daejeon St. Mary's Hospital, The Catholic University of Korea College of Medicine)
  • Received : 2012.12.10
  • Accepted : 2013.01.02
  • Published : 2013.04.01

Abstract

Epiduroscopic laser discectomy and neural decompression (ELND) is known as an effective treatment for intractable lumbar pain and radiating pain which develop after lumbar surgery, as well as for herniation of the intervertebral disk and spinal stenosis. However, various complications occur due to the invasiveness of this procedure and epidural adhesion, and rarely, cranial nerve damage can occur due to increased intracranial pressure. Here, the authors report case in which double vision occurred after epiduroscopic laser discectomy and neural decompression in a patient with failed back surgery syndrome (FBSS).

Keywords

References

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  1. Variable relations of the trochlear nerve with the pontomesencephalic segment of the superior cerebellar artery vol.37, pp.5, 2015, https://doi.org/10.1007/s00276-014-1377-4