Abducens Nerve Palsy in Patient with Intracranial Hypotension After Spine Surgery

Published on Apr 15, 2020in Journal of The Korean Ophthalmological Society
· DOI :10.3341/JKOS.2020.61.4.454
Sang Min Lee24
Estimated H-index: 24
Su Hwan Park1
Estimated H-index: 1
+ 1 AuthorsSu Jin Kim14
Estimated H-index: 14
#1Daniel Katz (ISMMS: Icahn School of Medicine at Mount Sinai)H-Index: 10
#2Yaakov BeilinH-Index: 20
Labor neuraxial anesthesia is commonly used in the parturient, and postdural puncture headache is the most common complication of the technique. Although epidural blood patch is the best treatment, there are some patients in whom this treatment is refused or contraindicated. The goal of this article
7 CitationsSource
#1Barbara M. Scavone (U of C: University of Chicago)H-Index: 20
7 CitationsSource
#1Ali Akal (Harran University)H-Index: 5
#2Tuğba Göncü (Harran University)H-Index: 5
Last. Suna Sarikaya (Harran University)H-Index: 4
view all 4 authors...
A 26-year-old female patient was admitted to our department with headache and diplopia. Her medical history revealed a caesarean section with epidural anaesthesia a week before the admission. Ophthalmological examination revealed right abducens paralysis with normal visual acuity, normal biomicroscopic findings, and normal fundi on funduscopic examination, and normal intraocular tension in both eyes. A contrast-enhanced cranial MRI revealed bilateral subdural fluid collection, engorgement of ven...
1 CitationsSource
#1Rachel B. Cain (Mayo Clinic)H-Index: 5
#2Naresh P. Patel (Mayo Clinic)H-Index: 15
Last. Devyani Lal (Mayo Clinic)H-Index: 19
view all 4 authors...
Objectives/Hypothesis To study reports of abducens nerve palsy following dural puncture procedures and to discuss possible etiologic theories, treatment, and prognosis. Study Design Systematic review of peer-reviewed literature. Methods A systematic literature review was conducted (PubMed, 1950 to September 2011) for cases of sixth cranial nerve palsy following dural puncture procedures. Results We report a case of abducens nerve palsy following lumbar drain placement for endoscopic trans-spheno...
11 CitationsSource
#1Wouter I. Schievink (Cedars-Sinai Medical Center)H-Index: 69
#2David W. Dodick (Mayo Clinic)H-Index: 94
Last. Peter J. GoadsbyH-Index: 137
view all 6 authors...
The clinical and radiographic manifestations of spontaneous intracranial hypotension are highly variable and many patients do not satisfy the 2004 International Classification of Headache Disorders criteria. We developed new diagnostic criteria for spontaneous intracranial hypotension based on cases we have seen reflecting the variable manifestations of the disorder. These criteria provide a basis for change when the classification criteria are next revised. The diagnostic criteria consist of A,...
86 CitationsSource
Spontaneous intracranial hypotension (SIH) is a well-documented syndrome characterized typically by a benign, self-limited course. Patients typically present with postural or exertional headaches that can be temporarily relieved by lying in a supine or recumbent position. A 35-year-old Caucasian male suffered orthostatic headache that developed to a bilateral abducens palsy. We ordered relative rest and the patient improved and completely recovered after 3 months. Although SIH is considered as a...
6 CitationsSource
#1Eun Ryung Han (Ewha Womans University)H-Index: 2
#2Key Hwan Lim (Ewha Womans University)H-Index: 10
목적: 제 6 뇌신경 마비로 진단된 환자를 대상으로 임상 양상 및 자연 경과에 대해 알아보았다. 대상과 방법: 2000년 1월부터 2006년 12월까지 제 6 뇌신경 마비로 진단된 환자 50명 57안을 대상으로 발병 연령, 원인, 회복 여부 및 자연 경과에 대해 후향적으로 분석하였다. 결과: 전체 환자의 평균 발병 연령은 43.2세였으며, 원인 별로는 혈관성 원인이 17명(34.0%)으로 가장 많았고, 원인 불명 14명(28.0%), 외상10명(20.0%), 종양 3명(6.0%) 순이었다. 연령별 발병 원인은 50~60대의 경우 혈관성 원인이 7명(46.7%)으로 가장 높은 비중을 차지하였고, 20~30대에서는 외상성 및 원인 불명이 10명(76.9%)으로 많았다. 6개월 이상 경과 관찰이 가능하였던 40명의 환자를 대상으로 회복 여부에 대해 조사한 결과 28명(70.0%)에서 호전을 보였고, 완전 회복을 보인 경우가 26명(65.0%)이었으며, 회복되기까지의 평균 기간은 3.7개월...
6 CitationsSource
#1Gabriel Zada (SC: University of Southern California)H-Index: 37
#2Thomas C. SolomonH-Index: 1
Last. Steven L. GiannottaH-Index: 61
view all 3 authors...
Object Intracranial hypotension (ICH) can present with a wide variety of visual symptoms and findings. Deficits in visual acuity and visual fields as well as ophthalmoplegia due to cranial nerve dysfunction have been frequently described. The aim of this review was to identify the most commonly reported ocular manifestations associated with ICH. Methods The authors conducted a review of the literature to date to identify all studies of patients with ICH and ocular manifestations. Results The mos...
57 CitationsSource
#1Wouter I. Schievink (Cedars-Sinai Medical Center)H-Index: 69
ContextSpontaneous intracranial hypotension is caused by spontaneous spinal cerebrospinal fluid (CSF) leaks and is known for causing orthostatic headaches. It is an important cause of new headaches in young and middle-aged individuals, but initial misdiagnosis is common.ObjectiveTo summarize existing evidence regarding the epidemiology, pathophysiology, diagnosis, and management of spontaneous spinal CSF leaks and intracranial hypotension.Evidence AcquisitionMEDLINE (1966-2005) and OLDMEDLINE (1...
953 CitationsSource
#1Sanjay V. Patel (Mayo Clinic)H-Index: 52
#2Srinivas Mutyala (Mayo Clinic)H-Index: 4
Last. Jonathan M. Holmes (Mayo Clinic)H-Index: 68
view all 5 authors...
Abstract Purpose To determine the incidence of sixth nerve palsy in a population-based study, with particular emphasis on associated coexisting medical conditions and to use these data to develop a management algorithm. Design Retrospective, population-based case series. Participants All residents of Olmsted County, Minnesota, USA, diagnosed with sixth nerve palsy between January 1, 1978 and December 31, 1992. Methods All cases were identified by using the Rochester Epidemiology Project medical ...
159 CitationsSource
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