An Unusual Case of Post-Traumatic Headache Complicated by Intracranial Hypotension
Autor: | Frank Berkowitz, Kaustubh Yadwadkar, Carrie Dougherty, Sara Siavoshi, Jessica Ailani |
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Rok vydání: | 2016 |
Předmět: |
post-traumatic headache
Case Report lcsh:RC321-571 intracranial hypotension cerebral spinal fluid leak 03 medical and health sciences Myelopathy 0302 clinical medicine medicine Syrinx (medicine) 030212 general & internal medicine Intracranial Hypotension lcsh:Neurosciences. Biological psychiatry. Neuropsychiatry Chiari malformation medicine.diagnostic_test Upper motor neuron business.industry General Neuroscience Magnetic resonance imaging medicine.disease syringomyelia medicine.anatomical_structure Anesthesia business 030217 neurology & neurosurgery Syringomyelia Post-Traumatic Headache |
Zdroj: | Brain Sciences Brain Sciences, Vol 7, Iss 1, p 3 (2016) |
ISSN: | 2076-3425 |
DOI: | 10.3390/brainsci7010003 |
Popis: | We present a case of post-traumatic headache complicated by intracranial hypotension resulting in an acquired Chiari malformation and myelopathy with syringomyelia. This constellation of findings suggest a possible series of events that started with a traumatic cerebral spinal fluid (CSF) leak, followed by descent of the cerebellar tonsils and disruption of CSF circulation that caused spinal cord swelling and syrinx. This unusual presentation of post-traumatic headache highlights the varying presentations and the potential sequelae of intracranial hypotension. In addition, the delayed onset of upper motor neuron symptoms along with initially normal head computerized tomography scan (CT) findings, beg the question of whether or not a post-traumatic headache warrants earlier magnetic resonance imaging (MRI). |
Databáze: | OpenAIRE |
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