Liegl O
Klin Monbl Augenheilkd. 1977 Oct;171(4):526-30.
The rare liquor leakage syndrome with cranial nerve lesion, which preferably affects the eye-muscle nerves, can be caused either by further leakage of liquor cerebrospinalis through the dura hole made by the lumbar puncture - or after a surgical operation on the spinal canal leaving a dura closure, which is not tight. This does not occur after a suboccipital puncture. A report is given on three cases with different eye-muscle paresis after a simple diagnostic lumbar puncture, after a lumbosacral myelography and after a resection of the sacral nerve roots including the filum terminale and caudal dural sac. The prognosis of the eye-muscle paresis is good. Restitutio ad integrum resulted. A fourth case with temporary loss of sight of one eye is reported after a lumbar air encephalography, but the eye nerves were damaged before as a result of previous tuberculous basal meningitis. Only partial recovery of the visual power occurred.
罕见的伴有颅神经损害的脑脊液漏综合征,好发于眼肌神经,其病因可能是脑脊液通过腰椎穿刺造成的硬脑膜孔进一步渗漏,或者是椎管手术后硬脑膜闭合不严密所致。枕下穿刺后不会发生这种情况。本文报告了3例在单纯诊断性腰椎穿刺、腰骶部脊髓造影以及包括终丝和尾段硬脊膜囊在内的骶神经根切除术后出现不同程度眼肌麻痹的病例。眼肌麻痹的预后良好,均完全恢复。还报告了第4例在腰椎气脑造影后出现单眼暂时失明的病例,但该眼神经此前因结核性基底脑膜炎已受损,仅视力部分恢复。