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Rebound intracranial hypertension after treatment of spontaneous intracranial hypotension
Author(s) -
Tsui H.,
Wu S.,
Kuo H.,
Chen C.
Publication year - 2006
Publication title -
european journal of neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.881
H-Index - 124
eISSN - 1468-1331
pISSN - 1351-5101
DOI - 10.1111/j.1468-1331.2006.01369.x
Subject(s) - medicine , spontaneous intracranial hypotension , epidural blood patch , intracranial hypotension , cerebrospinal fluid , orthostatic vital signs , magnetic resonance imaging , anesthesia , surgery , radiology , blood pressure
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.