Intracranial hypotension is a rare cause of orthostatic headache: a review of the etiology, treatment and prognosis of 13 cases

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dc.contributor.authorGuler, Sibel
dc.contributor.authorCagli, Bekir
dc.contributor.authorUtku, Ufuk
dc.contributor.authorUnlu, Ercument
dc.contributor.authorCelik, Yahya
dc.date.accessioned2024-06-12T11:01:31Z
dc.date.available2024-06-12T11:01:31Z
dc.date.issued2013
dc.departmentTrakya Üniversitesien_US
dc.description.abstractObjectives: The aim of this investigation is to examine the causes, clinical picture, treatment, and prognosis of spontaneous intracranial hypotension, a rare cause of orthostatic headache, among the cases presenting in our clinic. Methods: Thirteen cases (5 males and 8 females), diagnosed with spontaneous intracranial hypotension in our clinic between January 1st, 2009 and October 30th, 2011, were included in this study. The presenting symptoms, treatment, findings on cranial magnetic resonance imaging, cerebrospinal fluid pressure measured at lumbar puncture (in available patients), and the healing period of the patients were recorded. Results: Five patients with orthostatic headache and accompanying symptoms were treated with bed rest, increase in oral fluid intake, intravenous hydration and caffeine, and experienced a complete recovery. Complete recovery was observed in two patients (15.3%) within 10 days, in another two (15.3%) within 15 days and in one patient (7.6%) within 21 days. Headache and other clinical symptoms significantly regressed within 30 days in four patients (37.6%) who received similar treatment, but a mild headache persisted intermittently during follow-up in these individuals. As the headache had not resolved after 30 days, an epidural blood patch was applied in these four cases (37.6%) and the clinical picture completely improved within 10 to 15 days. Conclusion: Spontaneous intracranial hypotension should primarily be suspected in cases complaining about postural headache and contrast-enhanced cranial imaging should be performed. The presence of cranial nerve paralysis and pyramidal tract signs should b considered. Conservative treatments should be considered initially, however if conservative treatments fail, epidural blood patches must be applied.en_US
dc.identifier.doi10.5505/agri.2013.97720
dc.identifier.endpage77en_US
dc.identifier.issn1300-0012
dc.identifier.issue2en_US
dc.identifier.pmid23720081en_US
dc.identifier.scopus2-s2.0-84879943309en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage69en_US
dc.identifier.trdizinid152490en_US
dc.identifier.urihttps://doi.org/10.5505/agri.2013.97720
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/152490
dc.identifier.urihttps://hdl.handle.net/20.500.14551/20927
dc.identifier.volume25en_US
dc.identifier.wosWOS:000421305500004en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherKare Publen_US
dc.relation.ispartofAgri-The Journal Of The Turkish Society Of Algologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectEtiologyen_US
dc.subjectIntracranial Hypotensionen_US
dc.subjectPrognosisen_US
dc.subjectTreatmenten_US
dc.subjectT2-Weighted Mr Myelographyen_US
dc.subjectEpidural Blood Patchen_US
dc.subjectEnhancementen_US
dc.subjectHypothesisen_US
dc.subjectLeaksen_US
dc.titleIntracranial hypotension is a rare cause of orthostatic headache: a review of the etiology, treatment and prognosis of 13 casesen_US
dc.typeReview Articleen_US

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