Abdusens Felci ile Prezente Olan İntrakraniyal Hipotansiyon

Abstract

A 25-years-old woman presented with headache and diplopia following spinal anesthesia. Magnetic resonance imaging (MRI) showed findings compatible with intracranial hypotension. The patient was diagnosed as having 6th cranial nerve palsy secondary to cerebrospinal fluid (CSF) leakage following dural puncture and had intravenous hydration treatment. Complete resolution of the diplopia occured 24 hours after the hydration theraphy. Orthostatic headache, low CSF opening pressure and characteristic MRI findings are essential criteria for diagnosis of intracranial hypotension. Abducens nevre palsy following spinal anesthesia is a rare and reversible complication, which is thought to be secondary to the traction of abducens nerve due to intracranial hypotension following cerebrospinal fluid leakage.