Orthostatic headache and bilateral abducens palsy secondary to spontaneous intracranial hypotension
Adult
Male
Brief Report
Rest
Posture
Clinical Neurology
Headache
Intracranial Hypotension
Functional Laterality
3. Good health
03 medical and health sciences
Anesthesiology and Pain Medicine
Treatment Outcome
0302 clinical medicine
Humans
Abducens Nerve Diseases
DOI:
10.1007/s10194-010-0262-8
Publication Date:
2010-09-29T09:20:59Z
AUTHORS (5)
ABSTRACT
Spontaneous intracranial hypotension (SIH) is a well-documented syndrome characterized typically by a benign, self-limited course. Patients typically present with postural or exertional headaches that can be temporarily relieved by lying in a supine or recumbent position. A 35-year-old Caucasian male suffered orthostatic headache that developed to a bilateral abducens palsy. We ordered relative rest and the patient improved and completely recovered after 3 months. Although SIH is considered as a benign and self limited process it could also be associated with disabling complications. We should be aware of the possible complications and inform our patients. SIH can present with headache and bilateral abducens palsy even when the headache is improving.
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