Dumont D, Hariz H, Meynieu P, Salama J, Dreyfus P, Boissier M C
Rheumatology Department, Avicenne Teaching Hospital, Bobigny, France.
Rev Rhum Engl Ed. 1998 May;65(5):352-4.
We report a case of abducens palsy eight days after an intrathecal glucocorticoid injection followed by post-lumbar puncture syndrome. T1-weighted magnetic resonance imaging scans showed marked diffuse postgadolinium enhancement of the supra- and infratentorial meninges consistent with intracranial hypotension syndrome. The palsy resolved almost completely and a repeat magnetic resonance imaging scan done after four months was normal. The mechanism of the meningeal thickening and contrast enhancement is discussed.
