Headache and spontaneous low cerebrospinal fluid pressure syndrome

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05/2007


We examined 59 consecutive patients presenting between 1993 and 2006 at our centre diagnosed with headache associated with spontaneous intracranial hypotension syndrome (SIH). Thirty-six (61%) patients were women; the mean age was 47 years (range 20-68). Cerebral MRI with contrast confirmed SIH in all patients. Headache characteristics were obtained by direct semistructured interview; in a minority of cases information was completed retrospectively through a phone call. All SIH patients suffered from headache. Early recognition of SIH may avoid dangerous worsening due to delayed diagnosis. Orthostatic headache, the main symptom, suggests the diagnosis. 

 

Autori: E. Mea, M. Savoiardo, L. Chiapparini, G. Casucci, V. Bonavita, G. Bussone, M. Leone

Neurol Sci (2007) 28 (Suppl 2):S232-S234