AI Article Synopsis
- Spontaneous intracranial hypotension is a rare condition characterized by debilitating postural headaches, diagnosed primarily through clinical evaluation and imaging.
- Treatment often involves an epidural blood patch, and in some cases, such as described, diagnosis may occur even with normal brain imaging.
- The patient in this case improved with lumbar epidural blood patches, eliminating the need for further diagnostic tests.
Article Abstract
Spontaneous intracranial hypotension is an uncommon disorder with symptoms including postural headache that can be debilitating to patients. Diagnosis is mainly clinical, aided by imaging of the brain and spine with or without diagnostic procedures. Treatment can vary depending on severity, but most cases involve an epidural blood patch. We describe a case of a patient with clinical findings of spontaneous intracranial hypotension but with normal brain imaging. The patient responded to lumbar epidural blood patches and did not require additional tests to confirm the diagnosis.
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| http://dx.doi.org/10.1213/XAA.0000000000000852 | DOI Listing |
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