Abdusens Felci ile Prezente Olan İntrakraniyal Hipotansiyon

A. Çoban, Tuğçe Mengi, M. Çelebisoy
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Abstract

A 25-years-old woman presented with headache and diplopia following spinal anesthesia. Magnetic resonance imaging (MRI) showed findings compatible with intracranial hypotension. The patient was diagnosed as having 6th cranial nerve palsy secondary to cerebrospinal fluid (CSF) leakage following dural puncture and had intravenous hydration treatment. Complete resolution of the diplopia occured 24 hours after the hydration theraphy. Orthostatic headache, low CSF opening pressure and characteristic MRI findings are essential criteria for diagnosis of intracranial hypotension. Abducens nevre palsy following spinal anesthesia is a rare and reversible complication, which is thought to be secondary to the traction of abducens nerve due to intracranial hypotension following cerebrospinal fluid leakage.
一位25岁的女性在脊髓麻醉后出现头痛和复视。磁共振成像(MRI)显示符合颅内低血压。患者经硬脑膜穿刺诊断为继发脑脊液漏的第6脑神经麻痹,经静脉水化治疗。水合治疗后24小时复视完全消退。直立性头痛、低脑脊液开口压和特征性MRI表现是诊断颅内低血压的重要标准。脊髓麻醉后外展神经麻痹是一种罕见且可逆的并发症,被认为是继发于脑脊液漏后颅内低血压引起的外展神经牵拉。
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