Epidural Blood Patch for the Treatment of Abducens Nerve Palsy due to Spontaneous Intracranial Hypotension: A Case Report.
10.3344/kjp.2012.25.2.112
- Author:
Yeon A KIM
1
;
Duck Mi YOON
;
Kyung Bong YOON
Author Information
1. Department of Anesthesiology and Pain Medicine, Yonsei University Health System, Seoul, Korea. kbyoon@yuhs.ac
- Publication Type:Case Report
- Keywords:
abducens nerve palsy;
epidural blood patch;
spontaneous intracranial hypotension
- MeSH:
Abducens Nerve;
Abducens Nerve Diseases;
Blood Patch, Epidural;
Headache;
Intracranial Hypotension;
Paralysis;
Post-Dural Puncture Headache;
Supine Position
- From:The Korean Journal of Pain
2012;25(2):112-115
- CountryRepublic of Korea
- Language:English
-
Abstract:
Intracranial hypotension is characterized by a postural headache which is relieved in a supine position and worsened in a sitting or standing position. Although less commonly reported than postural headache, sixth nerve palsy has also been observed in intracranial hypotension. The epidural blood patch (EBP) has been performed for postdural puncture headache, but little is known about the proper timing of EBP in the treatment of sixth nerve palsy due to intracranial hypotension. This article reports a case of sixth nerve palsy due to spontaneous intracranial hypotension which was treated by EBP 10 days after the onset of palsy.