Epidural blood patch treatment of diplopia that developed after headache resolution in a patient with spontaneous intracranial hypotension

Lee, Myung-Su; Lee, Sookyung; Seo, Dong-Kyun; Yoon, Syn-Hae; Choi, Seong-Soo

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자료유형: 학술저널

저자정보: Lee, Myung-Su (Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine) Lee, Sookyung (Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine) Seo, Dong-Kyun (Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine) Yoon, Syn-Hae (Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine) Choi, Seong-Soo (Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine)

저널정보: 대한치과마취과학회 Journal of dental anesthesia and pain medicine Journal of dental anesthesia and pain medicine 제18권 제4호

발행연도: 2018.1

수록면: 255 - 259 (5page)

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Sudden headache onset may rarely be caused by spontaneous intracranial hypotension (SIH). Other associated symptoms in patients with SIH are nausea, vomiting, vertigo, hearing alteration, and visual disturbance. This case report describes a 43-year-old female diagnosed with SIH who developed diplopia after resolution of an abrupt-onset headache, which was managed with conservative treatments, including bed rest and hydration. She was also diagnosed with secondary right sixth cranial nerve palsy. Although conservative management relieved her headache, the diplopia was not fully relieved. Application of an autologous epidural blood patch successfully relieved her diplopia, even after 14 days from the onset of visual impairment.

#Abducens Nerve Palsy #Diplopia #Epidural Blood Patch #Spontaneous Intracranial Hypotension

참고문헌 (15)

참고문헌 신청

Schievink WI / 2008 / Spontaneous spinal cerebrospinal fluid leaks / Cephalalgia 28:1345~1356

Paldino M / 2003 / Intracranial hypotension syndrome: a comprehensive review / Neurosurg Focus 15:ECP2

Schievink WI / 2006 / Spontaneous spinal cerebrospinal fluid leaks and intracranial hypotension / JAMA 295:2286~2296

Zada G / 2007 / A review of ocular manifestations in intracranial hypotension / Neurosurg Focus 23:E8

김연아 / 2012 / Epidural Blood Patch for the Treatment of Abducens Nerve Palsy due to Spontaneous Intracranial Hypotension -A Case Report- / The Korean Journal of Pain 25(2):112~115

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