Combined fourth and sixth cranial nerve palsy after lumbar puncture: a rare complication. A case report
I Follens1, D Godts, P A Evens
1Department of Ophthalmology, University Hospital Antwerp, Belgium. Ingridfollens@yahoo.com
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.
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