Spontaneous intracranial hypotension with unique strabismus due to third and fourth cranial neuropathies.

Purpose: To report an atypical case of Spontaneous Intracranial Hypotension (SIH) with bilateral trochlear nerve palsies and an oculomotor nerve palsy.

Design & Method: Case report and literature review. RESULTS (CASE REPORT): A 42 year old man was treated for SIH.