Severe acute orthostatic headache: spontaneous intracranial hypotension (SIH)

xlomafota13 shared this article with you from Inoreader Severe acute orthostatic headache: spontaneous intracranial hypotension (SIH) Via leak of cerebrospinal fluid BMJ Case Rep. 2021 Jun 25;14(6):e243179. doi: 10.1136/bcr-2021-243179. ABSTRACT 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. PMID:34172480 | DOI:10.1136/bcr-2021-243179 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.