Journal
CLINICAL NEUROLOGY AND NEUROSURGERY
Volume 104, Issue 1, Pages 61-63Publisher
ELSEVIER SCIENCE BV
DOI: 10.1016/S0303-8467(01)00170-6
Keywords
lumbar puncture; abducens nerve palsy; headache; latrogenic complication
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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. (C) 2002 Elsevier Science B.V. All rights reserved.
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