Neurol. praxi. 2015;16(5):303-306

Spontaneous intracranial hypotension: a case report, diagnosis and treatment

MUDr. Zbyšek Pavelek1, doc. MUDr. Martin Vališ, Ph.D.1, MUDr. Ludovit Hofmann Klzo, Ph.D.2
1 Neurologická klinika LF a FN Hradec Králové
2 Radiologická klinika LF a FN Hradec Králové

Spontaneous intracranial hypotension is a remarkable but often misdiagnosed cause of new daily persistent headaches. The syndrome is characterised by headache that occurs shortly after assuming an upright position, low cerebrospinal fluid pressure, and magnetic resonance imaging findings diffuse pachymeningeal enhancement after gadolinium administration. We describe a 39-year-old man, with history of an operation of lumbar spine for radiculopathy, who presented 6-weeks after the operation orthostatic headache with photophobia, osmophobia and tinnitus. He was primary diagnose as aseptic meningitis syndrome. Soon after the patient´s history was carefully reviewed, he was treated successfully with epidural autologous blood patch.

Keywords: spontaneous intracranial hypotension, orthostatic headache, magnetic resonance imaging

Published: October 1, 2015  Show citation

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Pavelek Z, Vališ M, Hofmann Klzo L. Spontaneous intracranial hypotension: a case report, diagnosis and treatment. Neurol. praxi. 2015;16(5):303-306.
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