Open AccessA rare case of orthostatic headache due to spontaneous intracranial hypotension
Author(s) -
Arshed Sabrina,
Enakuaa Souad,
Nai Qiang,
Hossain Mohammad Amir,
Tulpule Sunil,
Yousif Abdalla
Publication year - 2016
Publication title -
clinical case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.21
H-Index - 9
ISSN - 2050-0904
DOI - 10.1002/ccr3.470
Subject(s) - medicine , orthostatic vital signs , spontaneous intracranial hypotension , medical diagnosis , intracranial hypotension , differential diagnosis , physical examination , medical history , intensive care medicine , diagnostic test , signs and symptoms , anesthesia , pediatrics , magnetic resonance imaging , surgery , radiology , pathology , blood pressure
Key Clinical Message Headache is one of the most common clinical entities, and has a long list of differential diagnoses; however, one of the more uncommon causes of postural headache is spontaneous intracranial hypotension. It is important that clinicians be aware of this condition, as it is often overlooked, leading to invasive and unnecessary diagnostic testing. A good history and physical exam, paired with an MRI of the brain is sufficient to make the diagnosis of SIH , relieve the symptomology of the patient in a quick and efficient manner, and avoid costly invasive procedures.