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      Diplopia After Maxillary Nerve Block Through the Lateral Infrazygomatic Approach: A Case Report and Literature Review

      1 , 1 , 1 , 2

      Journal of Pain Research

      Dove

      diplopia, nerve block, trigeminal neuralgia

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          Abstract

          Maxillary nerve block is widely used for treating trigeminal neuralgia. Common complications of the procedure include bleeding and sensory abnormalities, but ophthalmic complications have been rarely reported. A 60-year-old woman underwent maxillary nerve block for refractory trigeminal neuralgia. Ten minutes after the procedure had ended, the patient reported double vision when she tried to turn the left eye outward. After examination, the patient was presumed to have diplopia due to the abducens nerve block. However, the symptom disappeared approximately 30 minutes later without any treatment. Thus, to prevent diplopia, the dose of local anesthetics should be reduced. Moreover, negative blood aspiration should be confirmed during the injection. To the best of our knowledge, this is the first case to report diplopia after maxillary nerve block without neurolysis through the lateral infrazygomatic approach.

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          Most cited references 14

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          Nerve block for the treatment of headaches and cranial neuralgias - a practical approach.

          Several studies have presented evidence that blocking peripheral nerves is effective for the treatment of some headaches and cranial neuralgias, resulting in reduction of the frequency, intensity, and duration of pain.
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            Complications associated with maxillary nerve block anaesthesia via the greater palatine canal.

            This paper documents the type, frequency and duration of complications associated with regional anaesthesia of the maxillary nerve via the greater palatine canal in a series of 101 patients treated in the Oral Surgery Department, United Dental Hospital of Sydney.
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              Intraoral maxillary nerve block: an anatomical and clinical study.

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                Author and article information

                Journal
                J Pain Res
                J Pain Res
                jpr
                jpainres
                Journal of Pain Research
                Dove
                1178-7090
                17 February 2021
                2021
                : 14
                : 481-485
                Affiliations
                [1 ]Department of Anesthesiology and Pain Medicine, Seoul National University Hospital , Seoul, Republic of Korea
                [2 ]Department of Anesthesiology and Pain Medicine, SMG-SNU Boramae Medical Center , Seoul, Republic of Korea
                Author notes
                Correspondence: Jeongsoo Kim Department of Anesthesiology and Pain Medicine, Seoul National University Hospital , Seoul, 03080, Republic of KoreaTel +82-2-2072-2467 Email dreamsu457@gmail.com
                Article
                295211
                10.2147/JPR.S295211
                7898218
                © 2021 Kim et al.

                This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License ( http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms ( https://www.dovepress.com/terms.php).

                Page count
                Figures: 4, Tables: 2, References: 14, Pages: 5
                Categories
                Case Report

                Anesthesiology & Pain management

                trigeminal neuralgia, nerve block, diplopia

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