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Intracranial hypotension secondary to spinal arachnoid cyst rupture presenting with acute severe headache: a case report

INTRODUCTION: Headache is a common presenting complaint and has a wide differential diagnosis. Clinicians need to be alert to clues that may suggest an underlying secondary aetiology. We describe a novel case of headache secondary to intracranial hypotension which was precipitated by the rupture of...

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Autores principales: Jones, Wendy D, Kulkarni, Makarand, Ravishankar, K, Borgstein, Rudi, Dupont, Peter
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3018401/
https://www.ncbi.nlm.nih.gov/pubmed/21167026
http://dx.doi.org/10.1186/1752-1947-4-406
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author Jones, Wendy D
Kulkarni, Makarand
Ravishankar, K
Borgstein, Rudi
Dupont, Peter
author_facet Jones, Wendy D
Kulkarni, Makarand
Ravishankar, K
Borgstein, Rudi
Dupont, Peter
author_sort Jones, Wendy D
collection PubMed
description INTRODUCTION: Headache is a common presenting complaint and has a wide differential diagnosis. Clinicians need to be alert to clues that may suggest an underlying secondary aetiology. We describe a novel case of headache secondary to intracranial hypotension which was precipitated by the rupture of a spinal arachnoid cyst. CASE REPORT: A 51-year-old Indian female presented with sudden onset severe headache suggestive of a subarachnoid haemorrage. Investigations including a computed tomography brain scan, cerebrospinal fluid examination and a magnetic resonance angiogram were normal. The headache persisted and magnetic resonance imaging revealed bilateral thin subdural collections, a spinal subarachnoid cyst and a right-sided pleural effusion. This was consistent with a diagnosis of headache secondary to intracranial hypotension resulting from spinal arachnoid cyst rupture. CONCLUSIONS: Spinal arachnoid cyst rupture is a rare cause of spontaneous intracranial hypotension. Spontaneous intracranial hypotension is a common yet under-diagnosed heterogeneous condition. It should feature significantly in the differential diagnosis of patients with new-onset daily persistent headache.
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spelling pubmed-30184012011-01-11 Intracranial hypotension secondary to spinal arachnoid cyst rupture presenting with acute severe headache: a case report Jones, Wendy D Kulkarni, Makarand Ravishankar, K Borgstein, Rudi Dupont, Peter J Med Case Reports Case Report INTRODUCTION: Headache is a common presenting complaint and has a wide differential diagnosis. Clinicians need to be alert to clues that may suggest an underlying secondary aetiology. We describe a novel case of headache secondary to intracranial hypotension which was precipitated by the rupture of a spinal arachnoid cyst. CASE REPORT: A 51-year-old Indian female presented with sudden onset severe headache suggestive of a subarachnoid haemorrage. Investigations including a computed tomography brain scan, cerebrospinal fluid examination and a magnetic resonance angiogram were normal. The headache persisted and magnetic resonance imaging revealed bilateral thin subdural collections, a spinal subarachnoid cyst and a right-sided pleural effusion. This was consistent with a diagnosis of headache secondary to intracranial hypotension resulting from spinal arachnoid cyst rupture. CONCLUSIONS: Spinal arachnoid cyst rupture is a rare cause of spontaneous intracranial hypotension. Spontaneous intracranial hypotension is a common yet under-diagnosed heterogeneous condition. It should feature significantly in the differential diagnosis of patients with new-onset daily persistent headache. BioMed Central 2010-12-17 /pmc/articles/PMC3018401/ /pubmed/21167026 http://dx.doi.org/10.1186/1752-1947-4-406 Text en Copyright ©2010 Jones et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (<url>http://creativecommons.org/licenses/by/2.0</url>), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Jones, Wendy D
Kulkarni, Makarand
Ravishankar, K
Borgstein, Rudi
Dupont, Peter
Intracranial hypotension secondary to spinal arachnoid cyst rupture presenting with acute severe headache: a case report
title Intracranial hypotension secondary to spinal arachnoid cyst rupture presenting with acute severe headache: a case report
title_full Intracranial hypotension secondary to spinal arachnoid cyst rupture presenting with acute severe headache: a case report
title_fullStr Intracranial hypotension secondary to spinal arachnoid cyst rupture presenting with acute severe headache: a case report
title_full_unstemmed Intracranial hypotension secondary to spinal arachnoid cyst rupture presenting with acute severe headache: a case report
title_short Intracranial hypotension secondary to spinal arachnoid cyst rupture presenting with acute severe headache: a case report
title_sort intracranial hypotension secondary to spinal arachnoid cyst rupture presenting with acute severe headache: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3018401/
https://www.ncbi.nlm.nih.gov/pubmed/21167026
http://dx.doi.org/10.1186/1752-1947-4-406
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