We describe a case of a parturient scheduled for Caesarean section in whom
diplopia from abducens (sixth cranial) nerve palsy followed spinal anaesthe
sia performed with a 25 gauge Whitacre needle. After delivery, the patient
experienced neckache, diplopia and postural headache successively. These sy
mptoms were related to the dural puncture. Despite two consecutive epidural
blood patches, no improvement of diplopia was observed. In 8 months, the n
erve palsy had completely resolved. (C) 2001 Editions scientifiques et medi
cales Elsevier SAS.