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Mihaylova T, Biondo A, Zak I, Lewis RA. Anterior horn cell loss from subdural hygroma: A consequence of spontaneous spinal fluid leak. J Neurol Sci 2011; 305:156-9. [DOI: 10.1016/j.jns.2011.02.029] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2010] [Revised: 01/22/2011] [Accepted: 02/23/2011] [Indexed: 11/30/2022]
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Zada G, Solomon TC, Giannotta SL. A review of ocular manifestations in intracranial hypotension. Neurosurg Focus 2007; 23:E8. [DOI: 10.3171/foc-07/11/e8] [Citation(s) in RCA: 43] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
Object
Intracranial hypotension (ICH) can present with a wide variety of visual symptoms and findings. Deficits in visual acuity and visual fields as well as ophthalmoplegia due to cranial nerve dysfunction have been frequently described. The aim of this review was to identify the most commonly reported ocular manifestations associated with ICH.
Methods
The authors conducted a review of the literature to date to identify all studies of patients with ICH and ocular manifestations.
Results
The most commonly encountered cranial nerve deficit resulting from ICH (> 80% of reported cases) is an abducens nerve paresis, which may occur unilaterally or bilaterally. Although less common, oculomotor and trochlear nerve palsies have been reported as well. The optic nerve complex is frequently involved in ICH and may manifest as deficits in visual acuity and field cuts. Visual deficits and ophthalmoplegia improved following appropriate management in 97% of reported cases.
Conclusions
Intracranial hypotension can present with a wide spectrum of visual deficits, the causes of which are multifactorial. Cranial nerve paresis, especially of the abducens nerve, is frequently reported. The majority of symptoms and cranial nerve deficits reviewed respond favorably to conservative management, epidural blood patch administration, or in a minority of cases, surgical intervention.
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Albayram S, Tasmali KM, Gunduz A. Can spontaneous intracranial hypotension cause venous sinus thrombosis? J Headache Pain 2007; 8:200-1. [PMID: 17563836 PMCID: PMC3476144 DOI: 10.1007/s10194-007-0391-x] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2007] [Accepted: 04/20/2007] [Indexed: 11/17/2022] Open
Affiliation(s)
- Sait Albayram
- I.U. Cerrahpasa Medical Faculty, Department of Radiology, Division of Neuroradiology, Istanbul University, 34300 K.M. Pasa, Istanbul, Turkey
| | - Koray M. Tasmali
- I.U. Cerrahpasa Medical Faculty, Department of Radiology, Division of Neuroradiology, Istanbul University, 34300 K.M. Pasa, Istanbul, Turkey
| | - Aysegul Gunduz
- Department of Neurology, I.U. Cerrahpasa Medical Faculty, Istanbul, Turkey
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