Orthostatic headache and bilateral abducens palsy secondary to spontaneous intracranial hypotension

The Journal of Headache and Pain

Brief Report

Maria-L. Cuadrado¹  Jesús Porta-Etessam²  Daniela Di Capua³  Azahara Marcos³  Manuela Jorquera⁴ 

[1] Headache and Neuro-Ophthalmology Unit, Neurology Department, Hospital Clínico Universitario San Carlos, Madrid, Spain;Headache and Neuro-Ophthalmology Unit, Neurology Department, Hospital Clínico Universitario San Carlos, Madrid, Spain;C/Andrés Torrejón, 15, 7º, 28014, Madrid, Spain;Neurology Department, Hospital Clínico Universitario San Carlos, Madrid, Spain;Radiology Department, Hospital Clínico Universitario San Carlos, Madrid, Spain;

关键词: Spontaneous intracranial hypotension;    Headache;    Bilateral abducens palsy;   

DOI  :  10.1007/s10194-010-0262-8

 received in 2010-06-08, accepted in 2010-09-17,  发布年份 2010

来源: Springer

【 摘 要 】

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.

【 授权许可】

Unknown   
© Springer-Verlag 2010