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 alone. All patients exc.. Read More»
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