Epidural blood patch treatment of diplopia that developed after headache resolution in a patient with spontaneous intracranial hypotension
이명수, 이수경, 서동균, 윤신혜, 최성수,
소속 상세정보
이명수 ( Lee Myung-Su ) - University of Ulsan College of Medicine Asan Medical Center Department of Anesthesiology and Pain Medicine
이수경 ( Lee Soo-Kyung ) - University of Ulsan College of Medicine Asan Medical Center Department of Anesthesiology and Pain Medicine
서동균 ( Seo Dong-Kyun ) - University of Ulsan College of Medicine Asan Medical Center Department of Anesthesiology and Pain Medicine
윤신혜 ( Yoon Syn-Hae ) - University of Ulsan College of Medicine Asan Medical Center Department of Anesthesiology and Pain Medicine
최성수 ( Choi Seong-Soo ) - University of Ulsan College of Medicine Asan Medical Center Department of Anesthesiology and Pain Medicine
Abstract
Sudden headache onset may rarely be caused by spontaneous intracranial hypotension (SIH). Other associated symptoms in patients with SIH are nausea, vomiting, vertigo, hearing alteration, and visual disturbance. This case report describes a 43-year-old female diagnosed with SIH who developed diplopia after resolution of an abrupt-onset headache, which was managed with conservative treatments, including bed rest and hydration. She was also diagnosed with secondary right sixth cranial nerve palsy. Although conservative management relieved her headache, the diplopia was not fully relieved. Application of an autologous epidural blood patch successfully relieved her diplopia, even after 14 days from the onset of visual impairment.
키워드
Abducens Nerve Palsy; Diplopia; Epidural Blood Patch; Spontaneous Intracranial Hypotension
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