- Department of Neurological Surgery, University of Wisconsin, School of Medicine and Public Health, Madison, Wisconsin, United States.
Paul S. Page, Department of Neurological Surgery, University of Wisconsin, School of Medicine and Public Health, Madison, Wisconsin, United States.
DOI:10.25259/SNI_984_2022Copyright: © 2022 Surgical Neurology International This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, transform, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
How to cite this article: Kevin N. Cordeiro, Garret P. Greeneway, Paul S. Page, Nathaniel P. Brooks. Transient internuclear ophthalmoplegia following anterior cervical discectomy and fusion. 11-Nov-2022;13:527
How to cite this URL: Kevin N. Cordeiro, Garret P. Greeneway, Paul S. Page, Nathaniel P. Brooks. Transient internuclear ophthalmoplegia following anterior cervical discectomy and fusion. 11-Nov-2022;13:527. Available from: https://surgicalneurologyint.com/surgicalint-articles/11989/
Background: Internuclear ophthalmoplegia (INO), characterized by impaired horizontal eye movement, occurred following an anterior cervical discectomy/fusions (ACDF).
Case Description: A 48-year-old female with recurrent C5-6 foraminal stenosis presented with right C6 radiculopathy. She underwent a C5-6 ACDF, but postoperatively, complained of diplopia. Her examination revealed left-eye INO. Notably, the brain magnetic resonance imaging showed no significant radiological findings. The patient’s diplopia and INO resolved spontaneously on postoperative day 2 and never recurred.
Conclusion: Ocular complications following anterior cervical spine procedures are rare. Here, a 48-year-old female developed left eye INO following an ACDF that spontaneously resolved on postoperative day 2.
Keywords: Anterior cervical discectomy and fusion, internuclear ophthalmoplegia, Medial longitudinal fasciculus, INO
Ocular/visual complications following anterior cervical discectomy/fusions (ACDF) are rare. Gabel et al., in a retrospective and multi-center study of over 17,000 cervical spine surgeries, found no cases of postoperative blindness or vision loss.[
A 48-year-old female following a prior C5-6 posterior cervical endoscopic foraminotomy presented with recurrent right arm pain and diminished sensation in the right C6 dermatome, plus a positive Spurling maneuver. Cervical magnetic resonance imaging (MRI) demonstrated persistent right C5-6 foraminal stenosis and lateral disc protrusion [
Ocular complications following cervical spine surgery are exceedingly rare. There are only a handful of cases in the literature describing diplopia in patients following spine surgery, let alone cervical spine surgery [
Here, we present a 48-year-old female who developed transient 1–2-day onset of a left-eye INO following a routine C5-C6 ACDF.
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The views and opinions expressed in this article are those of the authors and do not necessarily reflect the official policy or position of the Journal or its management. The information contained in this article should not be considered to be medical advice; patients should consult their own physicians for advice as to their specific medical needs.
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