It was with great interest that we read the paper by Girgis et al. (3) and the related papers regarding spontaneous intracranial hypotension (SIH) in Turkish Neurosurgery. SIH is characterized with orthostatic headache, diffuse dural enhancement on MRI and low cerebrospinal fluid pressure in the absence of trauma history or lumbar puncture (3). Herein, we aimed to share our experience in a man ...

Spontaneous intracranial hypotension (SIH) is considered to be a very rare disorder. It is characterized by an orthostatic headache that is aggravated with the patient in the upright position and it is relieved by the patient assuming the supine position. SIH is caused by a spontaneous spinal cerebrospinal fluid leakage without the patient having undergone trauma, surgery or dural puncture or h...

Spontaneous cerebrospinal fluid (CSF) leak is a recognized cause of spontaneous intracranial hypotension (SIH). Subdural hematoma (SDH) is a serious but rare complication of SIH. An autologous epidural blood patch at the CSF-leak site can effectively relieve SIH. We report a case of bilateral SDH with SIH caused by a CSF leak originating at the C1-2 level. A 55-year-old male complained of ortho...

PURPOSE Spontaneous intracranial hypotension (SIH) is a relatively uncommon cause of headache, which usually presents as orthostatic cranial pain and is relieved by recumbency. The precise cause of spontaneous spinal cerebrospinal fluid leakage related SIH remains unknown. CASE REPORT We report the case of a 32-year-old man who presented with an orthostatic headache. Brain magnetic resonance ...

1327 December 2014 B ecause of cerebrospinal fluid (csF) leak, orthostatic headaches sometimes follow neuraxial blockade or diagnostic lumbar puncture. etiology and treatment are straightforward in those settings, since a site of dural disruption is known.1,2 With patient consent, we present a case in which intracranial hypotension resulted from dural puncture by a vertebral osteophytic spur. T...

Spontaneous intracranial hypotension (SIH) is characterized by severe postural headache and low cerebrospinal fluid (CSF) pressure. Radionuclide cisternography (RC) is of some value in diagnosing CSF leakage causing SIH. However, the sensitivity of RC is too low to demonstrate the site of leakage. In these cases, the early appearance of the radioactivity in the urinary bladder has also been use...

BACKGROUND Spontaneous intracranial hypotension (SIH) is a clinically variable syndrome caused by low cerebrospinal fluid (CSF) pressure due to a non-traumatic CSF leak. PHENOMENOLOGY SHOWN This case describes a 68-year-old gentleman who presents with chronic and slightly progressive kinetic tremor of bilateral hands associated with gait ataxia and gait start hesitation. EDUCATIONAL VALUE T...

Although the syndrome of spontaneous intracranial hypotension (SIH) is not an infectious disease, it is commonly involved in the differential diagnoses of meningitis and encephalitis. It is a clinical (headache, fever, even neck stiffness) and laboratory (cerebrospinal fluid (CSF) abnormalities) challenge for the physician. Considering this syndrome especially under some settings and taking car...

Several cases of cerebral venous thrombosis (CVT) due to spontaneous intracranial hypotension (SIH) have been reported, with an estimated occurrence rate 1–2% among patients decreased pressure. However, the causal relationship between SIH and CVT as a potential risk factor is not well understood. According Monro-Kellie principle, this thought be caused by compensatory expansion system, damage i...

Patients with both spontaneous intracranial hypotension (SIH) and subdural hematomas (SDH) are frequently undiagnosed. SIH may recur very often over a short interval or result in disastrous consequences if only the SDH is dealt with. We report a young adult with severe posterior nuchal pain; brain computed tomography showed bilateral SDH. He was discharged smoothly without any neurologic defici...