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Neurology India
Medknow Publications on behalf of the Neurological Society of India
ISSN: 0028-3886
EISSN: 1998-4022
Vol. 55, No. 4, 2007, pp. 382-384
Bioline Code: ni07111
Full paper language: English
Document type: Case Report
Document available free of charge

Neurology India, Vol. 55, No. 4, 2007, pp. 382-384

 en Case Report - Syndrome of spontaneous cerebrospinal fluid hypovolemia: Report of six cases
Ambady, Prakash; Ahsan, Moosa NV & Anand, Kumar A

Abstract

Syndrome of spontaneous cerebrospinal fluid hypovolemia (SCH) is a rare cause of new onset headache. We report six cases of SCH presenting with new onset headache. All six cases were females. Acute onset orthostatic headache and neck pain were the chief characteristics of SCH in our cases. The MRI brain showed pachymeningeal gadolinium enhancement in all patients. Spinal extradural CSF collection was demonstrable on MRI in three cases. All cases improved with conservative therapy. High index of clinical suspicion and contrast enhanced MRI brain is the key to accurate diagnosis in the majority of cases.

Keywords
Cerebrospinal fluid hypovolemia, orthostatic headache, spontaneous intracranial hypotension

 
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