Lee Myung-Su, Lee Sookyung, Seo Dong-Kyun, Yoon Syn-Hae, Choi Seong-Soo
Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
J Dent Anesth Pain Med. 2018 Aug;18(4):255-259. doi: 10.17245/jdapm.2018.18.4.255. Epub 2018 Aug 28.
Sudden headache onset may rarely be caused by spontaneous intracranial hypotension (SIH). Other associated symptoms in patients with SIH are nausea, vomiting, vertigo, hearing alteration, and visual disturbance. This case report describes a 43-year-old female diagnosed with SIH who developed diplopia after resolution of an abrupt-onset headache, which was managed with conservative treatments, including bed rest and hydration. She was also diagnosed with secondary right sixth cranial nerve palsy. Although conservative management relieved her headache, the diplopia was not fully relieved. Application of an autologous epidural blood patch successfully relieved her diplopia, even after 14 days from the onset of visual impairment.
突发头痛很少由自发性颅内低压（SIH）引起。SIH患者的其他相关症状包括恶心、呕吐、眩晕、听力改变和视觉障碍。本病例报告描述了一名43岁女性，被诊断为SIH，在突发头痛缓解后出现复视，采用包括卧床休息和补液在内的保守治疗。她还被诊断为继发性右侧第六颅神经麻痹。尽管保守治疗缓解了她的头痛，但复视并未完全缓解。自体硬膜外血贴的应用成功缓解了她的复视，即使在视力障碍出现14天后也是如此。
