Intracranial hypotension secondary to spinal pathology: Diagnosis and treatment.

Intracranial hypotension secondary to spinal pathology: Diagnosis and treatment.

Clin Neurol Neurosurg. 2016 Feb 16;143:95-98

Authors: Sartip K, McKenna G, Spina M, Grahovac S

Abstract
Spinal pathology resulting in cerebrospinal fluid (CSF) leak and intracranial hypotension is an infrequently reported and a potentially severe cause of headaches. We present a case of cerebrospinal fluid (CSF) leak caused by a thoracic disk herniation successfully treated with two targeted epidural blood patches. Although patients typically present with orthostatic headaches, the imaging findings of intracranial hypotension should prompt investigation of the spine for site and cause of the CSF leakage. Treatment includes autologous blood patch and surgery in refractory cases.

PMID: 26914140 [PubMed - as supplied by publisher]

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