Headache and vision changes after accidental dural puncture on 2/24/16, including left abducens nerve palsy. Brain: The cisternal segments of the abducens nerves appear to be intact. The cavernous sinuses are unremarkable. There is no evidence of intracranial hemorrhage, mass, or acute infarct. The brain parenchyma and pituitary gland appear unremarkable. There is no abnormal intracranial enhancement. There is a right choroid fissure cyst that measures up to 17 mm. The ventricles and basal cisterns are otherwise normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.Orbits: There is no evidence of extraocular muscle atrophy. The bilateral optic nerves are somewhat tortuous but display normal caliber and signal characteristics. There is no evidence of intraorbital tumors. The bilateral globes, lacrimal glands, and orbital fat are unremarkable.
1. Unremarkable orbits bilaterally and intact cisternal segments of the abducens nerves.2. No evidence of intracranial hemorrhage, mass, or acute infarct. 