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Management of Presumed Spontaneous Intracranial Hypotension

A Case Report

Swallow, Nathan, MD; Doan, Lisa V., MD

doi: 10.1213/XAA.0000000000000852
Case Reports
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Spontaneous intracranial hypotension is an uncommon disorder with symptoms including postural headache that can be debilitating to patients. Diagnosis is mainly clinical, aided by imaging of the brain and spine with or without diagnostic procedures. Treatment can vary depending on severity, but most cases involve an epidural blood patch. We describe a case of a patient with clinical findings of spontaneous intracranial hypotension but with normal brain imaging. The patient responded to lumbar epidural blood patches and did not require additional tests to confirm the diagnosis.

From the Department of Anesthesiology, Perioperative Care and Pain Medicine, New York University School of Medicine, New York, New York.

Accepted for publication June 18, 2018.

Funding: This work was funded by the Department of Anesthesiology, Perioperative Care and Pain Medicine, New York University School of Medicine, New York, NY.

The authors declare no conflicts of interest.

Address correspondence to Lisa V. Doan, MD, Department of Anesthesiology, Perioperative Care and Pain Medicine, New York University School of Medicine, 550 1st Ave, New York, NY 10016. Address e-mail to Lisa.doan@nyumc.org.

© 2019 International Anesthesia Research Society
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