Severe acute orthostatic headache: spontaneous intracranial hypotension (SIH)
| Autor: | Pushpendra Nath Renjen, Dinesh Mohan Chaudhari, Kamal Ahmed, Nidhi Goyal |
|---|---|
| Rok vydání: | 2023 |
| Předmět: |
0301 basic medicine
Adult medicine.medical_specialty Neurology Intracranial Hypotension Case Report 030105 genetics & heredity 03 medical and health sciences Orthostatic vital signs 0302 clinical medicine Cerebrospinal fluid medicine Humans Fibrin glue Epidural blood patch Cerebrospinal Fluid Leak business.industry Headache General Medicine medicine.disease Magnetic Resonance Imaging Anesthesia Female Headaches medicine.symptom business 030217 neurology & neurosurgery Orthostatic headache Blood Patch Epidural |
| Zdroj: | BMJ Case Rep |
| ISSN: | 1757-790X |
| Popis: | The most common cause of spontaneous intracranial hypotension headache is a cerebrospinal fluid (CSF) leakage, but the underlying mechanisms remain unknown. Intracranial hypotension is characterised by diffuse pachymeningeal enhancement on cranial MRI features, low CSF pressure and orthostatic headaches mostly caused by the dural puncture. We report a 31-year-old woman who presented to our services with reports of continuous severe bifrontal headache, which increased on sitting up and resolved on lying down. MRI of the cervical and lumbosacral spine showed signs of CSF leak; hence, patient was diagnosed with spontaneous intracranial hypotension headache. A CT-guided epidural blood patch was done at L4–5 with fibrin glue injected at the site of leak. The patient’s signs and symptoms improved after the procedure. |
| Databáze: | OpenAIRE |
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