Fang Yi, Blasick Stephanie, Dayyat Ehab
Department of Pediatric Hospital Medicine, Baylor Scott & White McLane Children's Hospital, Temple, Texas, USA.
Department of Pediatric Neurology and Sleep Medicine, Baylor Scott & White McLane Children's Hospital, Temple, Texas, USA.
Proc (Bayl Univ Med Cent). 2025 Jan 2;38(3):343-345. doi: 10.1080/08998280.2024.2439232. eCollection 2025.
Spontaneous intracranial hypotension (SIH) is a condition where cerebrospinal fluid (CSF) levels decrease and is primarily caused by spontaneous CSF leaks, most commonly occurring at the level of the thoracic spine. We report the first case of a transient and isolated oculomotor nerve (cranial nerve III) palsy associated with SIH and elevated CSF protein in a pediatric patient. Unlike typical SIH cases that often present with decreased CSF protein, this patient's findings emphasize the variability in SIH manifestations and emphasize the necessity for clinical suspicion and accurate diagnosis to avoid serious complications.
自发性颅内低压（SIH）是一种脑脊液（CSF）水平降低的病症，主要由自发性脑脊液漏引起，最常见于胸椎水平。我们报告了首例与小儿SIH及脑脊液蛋白升高相关的短暂性孤立性动眼神经（颅神经III）麻痹病例。与通常表现为脑脊液蛋白降低的典型SIH病例不同，该患者的发现强调了SIH表现的变异性，并强调了临床怀疑和准确诊断以避免严重并发症的必要性。
