Rebound intracranial hypertension after treatment of spontaneous intracranial hypotension
Hoi Ling Tsui, Shengjie Wu, Hsiao-I Kuo, C. Chen
Abstract
Hoi Ling Tsui, Shengjie Wu, Hsiao-I Kuo, C. Chen
Abstract
Spontaneous intracranial hypotension (SIH) is characterized by orthostatic headache and the cause is usually cerebrospinal fluid leaks in spine level. Most patients with SIH have a benign course. Epidural blood patch (EBP) is the treatment of choice when initial conservative managements are ineffective. We reported a patient with SIH diagnosed by using magnetic resonance imaging and radionuclide cisternography. Acute rebound intracranial hypertension developed after EBP and was successfully treated with intravenous osmotic agent.
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Spontaneous intracranial hypotension (SIH) is characterized by orthostatic headache and the cause is usually cerebrospinal fluid leaks in spine level. Most patients with SIH have a benign course. Epidural blood patch (EBP) is the treatment of choice when initial conservative managements are ineffective. We reported a patient with SIH diagnosed by using magnetic resonance imaging and radionuclide cisternography. Acute rebound intracranial hypertension developed after EBP and was successfully treated with intravenous osmotic agent.
Key concepts: Medicine, Spontaneous Intracranial Hypotension, Epidural blood patch, Intracranial Hypotension, Cerebrospinal fluid, Orthostatic vital signs, Magnetic resonance imaging, Anesthesia