Abstract
Neuroaxial blocks (spinal, epidural and caudal blocks) are commonly used procedures in anesthesia. Dural puncture was first introduced by Quincke. Bier proposed that leakage of cerebro spinal fluid (CSF) through the dural puncture side exceeds the rate of CSF production and results in low CSF pressure. This leads to intracranial hypotension causing traction of the cranial nerves(1,2). The nervus abducens is most frequently affected because of its long intracranial course(2). We report a case of abducens nerve palsy following spinal anesthesia.
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