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Abducens palsy after lumbar puncture.

Abstract：

OBJECTIVE:We report the case of a 43-year-old patient with neuralgic shoulder amyotrophy who developed abducens palsy on the left 4 days after diagnostic lumbar puncture (LP), which recovered completely within 4 months. RESULTS:Side effects after spinal tap are due to prolonged spinal fluid leakage and delayed closure of a dural defect causing intracranial hypotension. Downward 'sagging' of the brain and traction on cranial nerves may lead to abducens palsy. This case and a review of the literature illustrate the higher risk with the use of large-size traumatic needles in LP for cranial sixth nerve palsies. CONCLUSION:The presented case emphasizes the use of atraumatic small-size needles for lumbar puncture.

journal_name

Clin Neurol Neurosurg

journal_title

Clinical neurology and neurosurgery

authors

Niedermüller U,Trinka E,Bauer G

doi

10.1016/s0303-8467(01)00170-6

keywords:

subject

Has Abstract

pub_date

2002-01-01 00:00:00

pages

61-3

issue

1

eissn

0303-8467

issn

1872-6968

pii

S0303846701001706

journal_volume

104

pub_type

杂志文章

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