The Abducens Nerve Palsy Due To Spontan Intracranial Hypotension Syndrome
Fazilet Hız, Turgut Karagöl, Tuğba Eyiipgil, Meral Çınar
Neurology Clinic, Taksim Education And Research Hospital, İstanbul, Turkey
Keywords: Abducens nerve palsy, Intracranial hypotension syndrom, Magnetic Resonance Imaging, Postural headache
Abstract
Scientific BACKGROUND:
The diagnosis of spontan intracranial hypotension with postural headache, and other findings including tinnitus, vertigo, hypoesthesia in face, nausea and vomiting are performed by anamnesis, clinic and radiologic investigations. Symptoms mostly respond well to conservative therapy or early epidural blood patches.
OBJECTIVE:
While our 37 years- old female patient, was being treated with the diagnosis of headache, she was admitted to our clinic with abducens paralysis, diplopia and hypoesthesia in her face. Based on her headache type postural headache, cranial MRI and radioactive cisternography, findings, she was diagnosed.
RESULT:
Abducens palsy is rarely seen in spontan intracranial hypotension.syndrome. Our case was most interesting by full recovery to conservative therapy. We wanted to put forward the necessity of how to approach the cases with spontan intracranial hypotension syndromes rarely and generally misdiagnosed.