Delayed-Onset Subdural Hematoma and Oculomotor Nerve Palsy
After Improving Spontaneous Intracranial Hypotension

J Korean Neurol Assoc > Volume 30(4); 2012 > Article

Journal of the Korean Neurological Association 2012;30(4): 322-325.

자발두개내압저하 호전 후 발생한 지연경막하혈종과 눈돌림신경마비

김광선, 정연경 고임석 박혜영 한민수 이형수 박세호

국립중앙의료원 신경과

Delayed-Onset Subdural Hematoma and Oculomotor Nerve Palsy After Improving Spontaneous Intracranial Hypotension

Kwang-sun Kim

Department of Neurology, National Medical Center, Seoul, Korea

Abstract

Spontaneous intracranial hypotension (SIH) is a well-known disorder improving with conservative treatment or epidural blood patch in the majority of cases. However, SIH may develop neurological complications such as cranial nerve palsy, subdural hematoma, and altered consciousness. Subdural hematoma in SIH is usually found during intracranial hypotension state and delayed subdural hematoma is rarely reported. We report a case of delayed subdural hematoma and oculomotor nerve palsy after improving spontaneous intracranial hypotension. Key Words: Oculomotor nerve palsy, Spontaneous intracranial hypotension, Subdural hematoma