Akademik Veri Yönetim Sistemi
Global Migraine & Pain Summit, 6th MENA Meeting & 4rd Turkish African Meeting Of Headache And Pain Management 2022, Antalya, Türkiye, 2 - 05 Kasım 2022, ss.36
Background
Spontaneous intracranial hypotension (SIH) is an important cause of "new daily persistent headaches" but
is not a well-recognized entity. The misdiagnosis of SIH can have serious consequences.
Aim
The aim of this case report is to raise awareness among doctors to suspect SIH patients who present with
new persistent headaches.
Method/ Case Report
A 50-year-old man awoke with a headache and a whirring noise in both ears. There was no history of
trauma. The headache was bifrontal and associated with nausea and posterior neck pain. The headache
was positional, it worsen upon standing or improve when lying down. Neurologic examination was normal.
Brain MRI showed bilateral subdural hematomas (SDH), (figure-1) An epidural blood patch was applied
to the patient when he did not improve with conservative treatment. However, the patient did not improve
adequately (figure-2) and underwent SDH surgery. After surgery (figure-3), the patient was discharged
without complications.
Results
In the case of the development of symptomatic SDH, both an EBP and surgical evacuation of SDH may
be necessary components in the treatment of a patient with SIH.
Conclusion
Spontaneous intracranial hypotension may be an uncommon cause of headaches. However, it is a very
treatable one. The sooner that the correct diagnosis can be made and appropriate treatment can be
instigated, the less likely are complications to occur.