Case Report: Sixth Cranial Nerve Palsy after Bilateral Orchidopexy

Abstract Background: Abducent nerve palsy is a very rare postop-erative complication in non-ocular surgeries with general anes-thesia. Being the longest cranial nerve making it more suscep-tible to injury. Aim of Study: Documentation of postoperative idiopathic 6th cranial nerve palsy in non-ocular surgery. Patient and Methods: Two years old infant was scheduled for bilateral orchidopexy. There is no history of any previous disease or illness. After inhalational induction of general an-esthesia, iv cannulation, and endotracheal intubation Caudal block was administrated. Surgery was performed without any abnormal events and the baby was extubated and transferred to recovery room fully conscious and full motor power, and then discharged to home in the same day. In the second day postop-eratively, he developed squint in the Rt eye upon which neuro-logical and ophthalmological examination revealed idiopathic Rt 6th cranial nerve palsy for conservative treatment. Conclusion: Idiopathic Abducent nerve palsy rarely occurs after general anesthesia and may be due to temporary increase or decrease in intracranial pressure leading to nerve compres-sion or traction respectively.