Postoperative visual loss following dorsal root entry zone rhizotomy: A dreaded complication after a benign procedure

Postoperative visual loss (POVL) is a rare but grave postoperative complication. It has been mainly reported in patients undergoing cardiac and spinal surgeries. Dorsal root entry zone (DREZ) is pain relieving procedure performed in patients with refractory neuropathic pain with minimal complication...

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Main Authors: R K Mishra, C Mahajan, A Bindra, K Goyal
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2016-01-01
Series:Saudi Journal of Anaesthesia
Subjects:
Online Access:http://www.saudija.org/article.asp?issn=1658-354X;year=2016;volume=10;issue=4;spage=449;epage=452;aulast=Mishra
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author R K Mishra
C Mahajan
A Bindra
K Goyal
author_facet R K Mishra
C Mahajan
A Bindra
K Goyal
author_sort R K Mishra
collection DOAJ
description Postoperative visual loss (POVL) is a rare but grave postoperative complication. It has been mainly reported in patients undergoing cardiac and spinal surgeries. Dorsal root entry zone (DREZ) is pain relieving procedure performed in patients with refractory neuropathic pain with minimal complication rate. We present a case of unilateral POVL following DREZ rhizotomy in prone position in a patient having brachial plexus neuropathy. Exact etiology of vision loss was though not clear; hypotension, use of vasopressors and hemodilution may have led to vision loss in this patient. This case report highlights the associated risk factors for development of this hazardous complication.
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spelling doaj.art-6c81eec20a5246f2a69a5205d48ce7c22022-12-22T03:13:19ZengWolters Kluwer Medknow PublicationsSaudi Journal of Anaesthesia1658-354X2016-01-0110444945210.4103/1658-354X.177337Postoperative visual loss following dorsal root entry zone rhizotomy: A dreaded complication after a benign procedureR K MishraC MahajanA BindraK GoyalPostoperative visual loss (POVL) is a rare but grave postoperative complication. It has been mainly reported in patients undergoing cardiac and spinal surgeries. Dorsal root entry zone (DREZ) is pain relieving procedure performed in patients with refractory neuropathic pain with minimal complication rate. We present a case of unilateral POVL following DREZ rhizotomy in prone position in a patient having brachial plexus neuropathy. Exact etiology of vision loss was though not clear; hypotension, use of vasopressors and hemodilution may have led to vision loss in this patient. This case report highlights the associated risk factors for development of this hazardous complication.http://www.saudija.org/article.asp?issn=1658-354X;year=2016;volume=10;issue=4;spage=449;epage=452;aulast=MishraPostoperative vision loss; prone; rhizotomy
spellingShingle R K Mishra
C Mahajan
A Bindra
K Goyal
Postoperative visual loss following dorsal root entry zone rhizotomy: A dreaded complication after a benign procedure
Saudi Journal of Anaesthesia
Postoperative vision loss; prone; rhizotomy
title Postoperative visual loss following dorsal root entry zone rhizotomy: A dreaded complication after a benign procedure
title_full Postoperative visual loss following dorsal root entry zone rhizotomy: A dreaded complication after a benign procedure
title_fullStr Postoperative visual loss following dorsal root entry zone rhizotomy: A dreaded complication after a benign procedure
title_full_unstemmed Postoperative visual loss following dorsal root entry zone rhizotomy: A dreaded complication after a benign procedure
title_short Postoperative visual loss following dorsal root entry zone rhizotomy: A dreaded complication after a benign procedure
title_sort postoperative visual loss following dorsal root entry zone rhizotomy a dreaded complication after a benign procedure
topic Postoperative vision loss; prone; rhizotomy
url http://www.saudija.org/article.asp?issn=1658-354X;year=2016;volume=10;issue=4;spage=449;epage=452;aulast=Mishra
work_keys_str_mv AT rkmishra postoperativevisuallossfollowingdorsalrootentryzonerhizotomyadreadedcomplicationafterabenignprocedure
AT cmahajan postoperativevisuallossfollowingdorsalrootentryzonerhizotomyadreadedcomplicationafterabenignprocedure
AT abindra postoperativevisuallossfollowingdorsalrootentryzonerhizotomyadreadedcomplicationafterabenignprocedure
AT kgoyal postoperativevisuallossfollowingdorsalrootentryzonerhizotomyadreadedcomplicationafterabenignprocedure