title: Combined fourth and sixth cranial nerve palsy after lumbar puncture: a rare complication. A case report.
abstract: 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.
authors.affiliation: Department of Ophthalmology, University Hospital Antwerp, Belgium. Ingridfollens@yahoo.com
authors.forename: I
authors.initials: I
authors.lastname: Follens
authors.forename: D
authors.initials: D
authors.lastname: Godts
authors.forename: P A
authors.initials: PA
authors.lastname: Evens
authors.forename: M J
authors.initials: MJ
authors.lastname: Tassignon
mesh_terms: 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*