The Korean Journal of Pain

  • 제25권2호
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  • Pages.112-115
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  • 2012
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  • 2005-9159(pISSN)
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  • 2093-0569(eISSN)
대한통증학회 (The Korean Pain Society)
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Epidural Blood Patch for the Treatment of Abducens Nerve Palsy due to Spontaneous Intracranial Hypotension - A Case Report -

  • Kim, Yeon-A (Department of Anesthesiology and Pain Medicine, Yonsei University Health System) ;
  • Yoon, Duck-Mi (Department of Anesthesiology and Pain Medicine, Yonsei University Health System) ;
  • Yoon, Kyung-Bong (Department of Anesthesiology and Pain Medicine, Yonsei University Health System)
  • 투고 : 2011.12.06
  • 심사 : 2012.01.16
  • 발행 : 2012.04.01
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초록

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.

키워드

참고문헌

  1. Schievink WI, Dodick DW, Mokri B, Silberstein S, Bousser MG, Goadsby PJ. Diagnostic criteria for headache due to spontaneous intracranial hypotension: a perspective. Headache 2011; 51: 1442-4. https://doi.org/10.1111/j.1526-4610.2011.01911.x
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  6. Schober P, Loer SA, Schwarte LA. Paresis of cranial nerve VI (N. abducens) after thoracic dural perforation. Minerva Anestesiol 2010; 76: 1085-7.
  7. Béchard P, Perron G, Larochelle D, Lacroix M, Labourdette A, Dolbec P. Case report: epidural blood patch in the treatment of abducens palsy after a dural puncture. Can J Anaesth 2007; 54: 146-50. https://doi.org/10.1007/BF03022012
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피인용 문헌

  1. Clinical effect of the proximity of epidural blood patch injection to the leakage site in spontaneous intracranial hypotension pp.1360-046X, 2018, https://doi.org/10.1080/02688697.2018.1519109
  2. Epidural blood patch treatment of diplopia that developed after headache resolution in a patient with spontaneous intracranial hypotension vol.18, pp.4, 2018, https://doi.org/10.17245/jdapm.2018.18.4.255
  3. Iatrogenic Dural Puncture-induced Abducens Nerve Palsy: Treatment with Epidural Blood Patch vol.12, pp.1, 2012, https://doi.org/10.7759/cureus.6622
  4. Epidural blood patch for spontaneous intracranial hypotension with subdural hematoma: A case report and review of literature vol.10, pp.1, 2012, https://doi.org/10.12998/wjcc.v10.i1.388