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Elsie F. Meyers, MD
St Louis

Arch Ophthalmol. 1985;103(9):1278-1282.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.

—The occurrence of accidental brain-stem anesthesia following retrobulbar block is unusual. Symptoms of this life-threatening complication have been described previously^1-5 and also have been reported after stellate ganglion⁶ and extraoral trigeminal blocks.⁷ An experimental study by Drysdale⁸ indicated that access to the subarachnoid space may be gained via the subdural space of the optic nerve posterior to the chiasm, then into the subdural space surrounding the pons and midbrain. Lombardi⁹ reported the presence of subdural contrast medium in intracranial subdural spaces following retrobulbar injections for orbitography in three of 150 patients. A case of suspected brain-stem anesthesia following retrobulbar block is described herein.

Report of a Case.

—A healthy 43-year-old man (weight, 105 kg; height, 180 cm) was scheduled for a scleral buckling procedure for retinal detachment in his right eye. Results of the physical examination were otherwise normal, as were the . . . [Full Text PDF of this Article]

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