Khemka S, Mearza A A
The Royal Eye Unit, Kingston Hospital, Kingston-Upon-Thames, UK.
Eur J Neurol. 2006 Nov;13(11):1264-5. doi: 10.1111/j.1468-1331.2006.01505.x.
We report the case of a 43-year-old gentleman who presented with an isolated left sixth nerve palsy in association with postural headache. Magnetic resonance imaging showed dural enhancement with downward displacement of the brainstem. This, in association with the signs, symptoms and findings on lumbar puncture, confirmed the diagnosis of spontaneous intracranial hypotension. Treatment was successful with epidural blood patching. The case is discussed and the relevant literature reviewed.
我们报告了一例43岁男性患者，其表现为孤立性左侧展神经麻痹并伴有体位性头痛。磁共振成像显示硬脑膜强化，脑干向下移位。结合腰椎穿刺的体征、症状及检查结果，确诊为自发性颅内低压。硬膜外血贴治疗成功。本文对该病例进行了讨论并复习了相关文献。
