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Alternating Skew Deviation from Traumatic Intracranial Hypotension
Stephen J Moster1, Mark L Moster1
1Department of Neuro-Ophthalmology, Wills Eye Institute, Philadelphia, Pennsylvania, USA; and Departments of Neurology and Ophthalmology, Thomas Jefferson University School of Medicine Philadelphia, Pennsylvania USA.
A 56-year-old woman developed progressive headache, mental status changes, and diplopia after trauma. She was diagnosed with alternating skew deviation caused by intracranial hypotension. This is the first case of alternating skew deviation reported from intracranial hypotension and perhaps a differential pressure between intracranial and intraspinal spaces plays a role in the development of these findings.
A 56-year-old woman developed progressive headache, mental status changes, and diplopia after trauma. She was diagnosed with alternating skew deviation caused by intracranial hypotension. This is the first case of alternating skew deviation reported from intracranial hypotension and perhaps a differential pressure between intracranial and intraspinal spaces plays a role in the development of these findings.
