Spontaneous Intracranial Hypotension Syndrome: An
Unknown and Benign Condition

Bruno L Pessoa; Marco Antônio C Resende; Marco Antônio Orsini Neves; Brian França dos Santos; Marco Antônio Alves Azizi; Eduardo Jorge C da Silva; Mauricio de Sant' anna Junior; Julio Guilherme Silva; Luciana Moises Camilo; Carlos Eduardo Cardoso; Adalgiza Mafra Moreno

Case Report

Volume 12 Issue 5 - 2020

Spontaneous Intracranial Hypotension Syndrome: An Unknown and Benign Condition

Bruno L Pessoa¹*, Marco Antônio C Resende², Marco Antônio Orsini Neves², Brian França dos Santos², Marco Antônio Alves Azizi², Eduardo Jorge C da Silva², Mauricio de Sant' anna Junior², Julio Guilherme Silva², Luciana Moises Camilo², Carlos Eduardo Cardoso³ and Adalgiza Mafra Moreno⁴

¹Department of Neurosurgery, Hospital Universitário Antônio Pedro, Universidade Federal Fluminense, Niterói, Rio de Janeiro, Brazil

²Service of Anesthesiology, Department of Surgery, Hospital Universitário Antônio Pedro, Universidade Federal Fluminense, Niterói, Rio de Janeiro, Brazil

³Vassouras University,Brazil

⁴Iguaçu University, Brazil

*Corresponding Author: Bruno L Pessoa, Department of Neurosurgery, Hospital Universitário Antônio Pedro, Universidade Federal Fluminense, Niterói, Rio de Janeiro, Brazil.

Received: March 19, 2020; Published: April 15, 2020

Abstract

Background: Spontaneous intracranial hypotension (SIH) is considered to be an uncommon disease caused by cerebrospinal fluid leakage. It is characterized by an orthostatic headache without history in the past of trauma or dural puncture. There is no consensus about level, volume and number of epidural blood patch (EBP) for SIH treatment in literature.

Methods: Our objective was to report a 38-year-old woman with SIH at two different levels (lumbar and cervical) as demonstrated by spine MRI and SPECT CT, treated by single lumbar low-volume EBP.

Results: The patient achieved good symptoms relief, with complete remission of headache, nausea and vomits. Besides, no complications occurred as consequence of the procedure and the discharged happened two days afterwards.

Conclusion: In spite of low volume used in the blood patch and of the existence of another CSF leak in a distant site, it is possible to obtain good results and at same time, to minimize complications due to higher blood volume patches application.

Keywords: Spontaneous Intracranial Hypotension; Epidural Blood Patch; Headache

References

Citation: Bruno L Pessoa., et al. “Spontaneous Intracranial Hypotension Syndrome: An Unknown and Benign Condition”. EC Neurology 12.5 (2020): 27-33.

Copyright: © 2020 Bruno L Pessoa., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

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