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Year : 2019  |  Volume : 21  |  Issue : 2  |  Page : 186-188

Cerebrospinal fluid leak causing spontaneous intracranial hypotension

Department of Anaesthesiology, 165 Military Hospital, Rangapahar, Nagaland, India

Correspondence Address:
Lt Col (Dr) Nihar Ameta
Department of Anaesthesiology, 165 Military Hospital, C/o 99 APO, Rangapahar, Nagaland
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jmms.jmms_46_18

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Spontaneous intracranial hypotension (SIH) is one of the important causes of headache in young and middle-aged and is commonly misdiagnosed in the initial stages. SIH generally results from a spontaneous cerebrospinal fluid (CSF) leak usually in the spinal region subsequently leading to headache, usually postural in nature. SIH is characterized by a triad of postural headache, diffuse pachymeningeal enhancement diagnosed on magnetic resonance imaging, and low CSF opening pressure of <60 mm of water. Autologous epidural blood patch (EPB) is the treatment of choice in these patients. Here, we present a case of SIH with classical clinical and radiological findings managed appropriately with EBP, leading to complete resolution of the symptoms.

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