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  • Title: Combined fourth and sixth cranial nerve palsy after lumbar puncture: a rare complication. A case report.
    Author: Follens I, Godts D, Evens PA, Tassignon MJ.
    Journal: Bull Soc Belge Ophtalmol; 2001; (281):29-33. PubMed ID: 11702640.
    Abstract:
    Palsies of cranial nerves are well-known complications after lumbar puncture. Sixth nerve palsies are the most common. They normally occur 4 to 14 days after the lumbar puncture and spontaneously recover in a few weeks or months. The occurrence of a fourth nerve palsy following lumbar puncture however is extremely rare. We report on a patient who developed a combined contralateral fourth and sixth nerve palsy after lumbar puncture (Syndrome of Intracranial Hypotension), requiring surgical correction for secondary diplopia.
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