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- U Niedermüller, E Trinka, and G Bauer.
- Universitätsklinik für Neurologie, Anichstr 35, A-6020, Innsbruck, Austria. ulrike.meisel@uibk.ac.at
- Clin Neurol Neurosurg. 2002 Jan 1;104(1):61-3.
ObjectiveWe 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.ResultsSide 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.ConclusionThe presented case emphasizes the use of atraumatic small-size needles for lumbar puncture.
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