Combined fourth and sixth cranial nerve palsy after lumbar puncture: a rare complication. A case report.
Palsies of cranial nerves are well-known complications after lumbar puncture. Sixth nerve palsies are the most common. They normally occur 4 to 14 days after the lumbar puncture and spontaneously recover in a few weeks or months. The occurrence of a fourth nerve palsy following lumbar puncture however is extremely rare. We report on a patient who developed a combined contralateral fourth and sixth nerve palsy after lumbar puncture (Syndrome of Intracranial Hypotension), requiring surgical correction for secondary diplopia.
Follens
I
I
Department of Ophthalmology, University Hospital Antwerp, Belgium. Ingridfollens@yahoo.com
Godts
D
D
Evens
P A
PA
Tassignon
M J
MJ
D020434:Abducens Nerve Diseases / Q000209:etiology*; D000328:Adult; D004172:Diplopia / Q000209:etiology / Q000601:surgery; D006408:Hematoma, Subdural / Q000175:diagnosis / Q000209:etiology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D013129:Spinal Puncture / Q000009:adverse effects*; D020432:Trochlear Nerve Diseases / Q000209:etiology*