Case Reports
Spontaneous Intracranial Hypotension–A Rare but Important Cause of Secondary Headache
Author(s):
Anand Soni*, Namita Soni and Namita Soni
Spontaneous intracranial hypotension is an uncommon cause of headache. Diagnosis requires
high index of suspicion. It can be easily missed if not considered in differentials. It can be missed
on plain MRI if intra venous contrast is not given.
We report nine cases of spontaneous intracranial hypotension who came with acute to subacute
presentation of postural headache. Four patients were treated conservatively with bed rest
and IV fluids. These patients were followed up clinically and radiologically. Follow up clinical
and MRI showed complete resolution of symptoms in 4 conservatively treated patients. Two
patients were treated surgically. One patient required bilateral craniotomy in view of worsening
of subdural haematoma. One patient was treated with bilateral craniotomy and epidural blood
patch. Three patients were treated with epidural blood patch a.. Read More»
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