Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
The Journal of Headache and Pain
Published in: The Journal of Headache and Pain 4/2011

Open Access 01-08-2011 | Brief Report

A transient third cranial nerve palsy as presenting sign of spontaneous intracranial hypotension

Authors: Antonio Russo, Alessandro Tessitore, Mario Cirillo, Alfonso Giordano, Rosa De Micco, Gennaro Bussone, Gioacchino Tedeschi

Published in: The Journal of Headache and Pain | Issue 4/2011

Login to get access

Abstract

Spontaneous intracranial hypotension is an uncommon cause of sudden and persistent headache: associated symptoms are common, among which there are cranial nerve palsies, especially of the abducens nerve. We report a case of a 21-year-old man with a transient and isolated third nerve palsy due to spontaneous intracranial hypotension. To our knowledge, there are only few reports in the literature of such association.
Literature
1.
Schievink WI (2008) Spontaneous spinal cerebrospinal fluid leaks. Cephalalgia 28(12):1345–1356, 19037970, 10.1111/j.1468-2982.2008.01776.x, 1:STN:280:DC%2BD1cjmvFKkug%3D%3DCrossRefPubMed
2.
Zada G, Solomon TC, Giannotta SL (2007) A review of ocular manifestations in intracranial hypotension. Neurosurg Focus 23(5):E8, 18004970, 10.3171/FOC-07/11/E8CrossRefPubMed
3.
Akkawi N, Locatelli P, Borroni B, Agosti C, Pezzini A, Stefini R, Padovani A (2006) A complicated case of intracranial hypotension: diagnostic and management strategies. Neurol Sci 27(1):63–66, 16688602, 10.1007/s10072-006-0566-2, 1:STN:280:DC%2BD283mtlKqtQ%3D%3DCrossRefPubMed
4.
Scully RE, Mark EJ, McNeely WF, Ebeling SH, Phillips LD (1998) A 50-year-old woman with increasing headache and a left abducent-nerve palsy. N Engl J Med 338:180–188, 10.1056/NEJM199801153380308CrossRef
5.
Blank SC, Shakir RA, Bindoff LA, Bradey N (1997) Spontaneous intracranial hypotension: clinical and magnetic resonance imaging characteristics. Clin Neurol Neurosurg 99:199–204, 9350401, 10.1016/S0303-8467(97)00015-2, 1:STN:280:DyaK1c%2FhtFCrtw%3D%3DCrossRefPubMed
6.
Savoiardo M, Minati L, Farina L, De Simone T, Aquino D, Mea E, Filippini G, Bussone G, Chiapparini L (2007) Spontaneous intracranial hypotension with deep brain swelling. Brain 130(Pt 7):1884–1893, 17535837, 10.1093/brain/awm101CrossRefPubMed
7.
Ferrante E, Savino A, Brioschi A, Marazzi R, Donato MF, Riva M (1998) Transient oculomotor cranial nerves palsy in spontaneous intracranial hypotension. J Neurosurg Sci 42(3):177–179 (discussion 180), 10192060, 1:STN:280:DyaK1M3gslOrtg%3D%3D, (discussion 180)PubMed
8.
Zada G, Pezeshkian P, Gianotta S (2007) Spontaneous intracranial hypotension and immediate improvement following epidural blood match placement demonstrated by intracranial pressure monitoring (case report). J Neurosurg 106:1089–1090, 17564185, 10.3171/jns.2007.106.6.1089CrossRefPubMed
9.
Warner GTA (2002) Spontaneous intracranial hypotension causing a partial third cranial nerve palsy: a novel observation. Cephalalgia 22(10):822–823, 12485210, 10.1046/j.1468-2982.2002.00433.x, 1:STN:280:DC%2BD38jit12ksA%3D%3DCrossRefPubMed
10.
Brady-McCreery KM, Speidel S, Hussein MA, Coats DK (2002) Spontaneous intracranial hypotension with unique strabismus due to third and fourth cranial neuropathies. Binocul Vis Strabismus Q 17:43–48, 11874382PubMed
11.
Schievink WI, Maya MM, Louy C, Moser FG, Tourje J (2008) Diagnostic criteria for spontaneous spinal CSF leaks and intracranial hypotension. Am J Neuroradiol 29(5):853–856, 18258706, 10.3174/ajnr.A0956, 1:STN:280:DC%2BD1czhtlCitw%3D%3DCrossRefPubMed
12.
Mokri B, Maher CO, Sencakova D (2002) Spontaneous CSF leaks: underlying disorder of connective tissue. Neurology 58(5):814–816, 11889250CrossRefPubMed
13.
Alonso-Canovas A, Martínez San Millán J, Novillo López ME, Masjuán Vallejo J (2008) Third cranial nerve palsy due to intracranial hypotension syndrome. Neurologia 23(7):462–465, 18726726, 1:STN:280:DC%2BD1crktlOnsw%3D%3DPubMed
Metadata
Title
A transient third cranial nerve palsy as presenting sign of spontaneous intracranial hypotension
Authors
Antonio Russo
Alessandro Tessitore
Mario Cirillo
Alfonso Giordano
Rosa De Micco
Gennaro Bussone
Gioacchino Tedeschi
Publication date
01-08-2011
Publisher
Springer Milan
Published in
The Journal of Headache and Pain / Issue 4/2011
Print ISSN: 1129-2369
Electronic ISSN: 1129-2377
DOI
https://doi.org/10.1007/s10194-011-0345-1

Other articles of this Issue 4/2011

The Journal of Headache and Pain 4/2011 Go to the issue

Brief Report

Familial neuralgia of occipital and intermedius nerves in a Chinese family

Rapid Communication

Iatrogenic damage to the mandibular nerves as assessed by the masseter inhibitory reflex

Review Article

Published and not fully published double-blind, randomised, controlled trials with oral naratriptan in the treatment of migraine: a review based on the GSK Trial Register

Original

Headache and migraine during pregnancy and puerperium: the MIGRA-study

Original

Orbitofrontal dysfunction predicts poor prognosis in chronic migraine with medication overuse

Original

Epidural blood patch for refractory low CSF pressure headache: a pilot study