Türk Nöroşirürji Dergisi 2012 , Vol 22 , Num 2
Spontaneous Intracranial Hypotension: A Case Report
Mustafa KAKŞİ1, Fatih Han BÖLÜKBAŞI2
1Özel Yalova Hastanesi, Nöroşirürji Kliniği, Yalova, Türkiye
2Sorgun Devlet Hastanesi, Nöroşirürji Kliniği, Yozgat, Türkiye
Spontaneous intracranial hypotension which rises as a result of the leakage of cerebrospinal fluid is a rare syndrome characterized by orthostatic headache and low cerebrospinal fluid. Although orthostatic feature of the pain may be instructive to diagnosing of spontaneous intracranial hypotension but both confirming the correct diagnosis and excluding other possibilities the most important examination is the cranial magnetic resonance imaging. Among the treatment methods, primarily bed rest, fluid replacement, caffeine, theophylline, and nonsteroidal anti-inflammatory drugs are used. Generally headache resists to analgesic treatment. Especially for the treatment-resistant cases, the interventional treatment of epidural saline or blood patch treatment has been suggested. However, surgery is rarely used for the non-response cases. Anahtar Kelimeler : Cerebrospinal fluid, Headache, Intracranial hypotension, Spontaneous, Subdural collection