Orthostatic headache and bilateral abducens palsy secondary to spontaneous intracranial hypotension

• DOI: 10.1007/s10194-010-0262-8
• Publication Date: 2010-09-29T09:20:59Z
• Authors: Jesús Porta-Etessam; Daniela Di Capua; Manuela Jorquera; Maria-L. Cuadrado; Azahara Marcos
• Keywords: Supine position; Abducens nerve; Sitting; Intracranial Hypotension; Spontaneous Intracranial Hypotension

Spontaneous intracranial hypotension (SIH) is a well-documented syndrome characterized typically by benign, self-limited course. Patients present with postural or exertional headaches that can be temporarily relieved lying in supine recumbent position. A 35-year-old Caucasian male suffered orthostatic headache developed to bilateral abducens palsy. We ordered relative rest and the patient improved completely recovered after 3 months. Although SIH considered as benign self limited process it could also associated disabling complications. should aware of possible complications inform our patients. palsy even when improving.