Department of Anesthesiology and Pain Medicine, Yonsei University Health System, Seoul, Korea.
Korean J Pain. 2012 Apr;25(2):112-5. doi: 10.3344/kjp.2012.25.2.112. Epub 2012 Apr 4.
Intracranial hypotension is characterized by a postural headache which is relieved in a supine position and worsened in a sitting or standing position. Although less commonly reported than postural headache, sixth nerve palsy has also been observed in intracranial hypotension. The epidural blood patch (EBP) has been performed for postdural puncture headache, but little is known about the proper timing of EBP in the treatment of sixth nerve palsy due to intracranial hypotension. This article reports a case of sixth nerve palsy due to spontaneous intracranial hypotension which was treated by EBP 10 days after the onset of palsy.
颅内低血压的特征是体位性头痛，仰卧位时缓解，坐位或站立位时加重。虽然不如体位性头痛常见，但颅内低血压也观察到第六脑神经麻痹。硬膜外血贴（EBP）已用于治疗腰穿后头痛，但由于颅内低血压导致第六脑神经麻痹的 EBP 治疗的适当时机知之甚少。本文报告了一例自发性颅内低血压引起的第六脑神经麻痹病例，在麻痹发作 10 天后接受 EBP 治疗。
