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Treatment of Idiopathic Intracranial Hypotension With Tea: A Case Report

INTRODUCTION: The syndrome of spontaneous intracranial hypotension has been increasingly diagnosed since its discovery through magnetic resonance imaging (MRI). It is a rare syndrome that is due to the leakage of cerebrospinal fluid (CSF) from a tear in the dura and can occur at any age, even among...

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Autores principales: Petramfar, Peyman, Mohammadi, S. Saeed, Hosseinzadeh, Farideh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Kowsar 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5002997/
https://www.ncbi.nlm.nih.gov/pubmed/27621920
http://dx.doi.org/10.5812/ircmj.24620
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author Petramfar, Peyman
Mohammadi, S. Saeed
Hosseinzadeh, Farideh
author_facet Petramfar, Peyman
Mohammadi, S. Saeed
Hosseinzadeh, Farideh
author_sort Petramfar, Peyman
collection PubMed
description INTRODUCTION: The syndrome of spontaneous intracranial hypotension has been increasingly diagnosed since its discovery through magnetic resonance imaging (MRI). It is a rare syndrome that is due to the leakage of cerebrospinal fluid (CSF) from a tear in the dura and can occur at any age, even among adolescents, but is most frequently seen among females in late middle age. CASE PRESENTATION: Here, we describe a 32-year-old woman with a two-month history of headaches and occasional nausea and vomiting (N/V). MRI without gadolinium was normal, but meningeal enhancement was seen in MRI with gadolinium. The lumbar puncture revealed a low opening pressure. Computed tomography myelography (CT myelography) showed no leakage; Therefore, idiopathic intracranial hypotension was diagnosed. Treatment was started using tea, and the patient’s headache got significantly better in about a day. CONCLUSIONS: Conservative therapy, such as bed rest and caffeine treatment with eight cups of tea daily, yielded a significant improvement in our patient. Effectively, the patient constitutes a case of idiopathic intracranial hypotension due to undetectable CSF leakage or hyper-absorption, with good response to conservative management through tea-drinking. Further investigations with an appropriate sample size are needed in order to confirm this intervention in the treatment of idiopathic intracranial hypotension.
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spelling pubmed-50029972016-09-12 Treatment of Idiopathic Intracranial Hypotension With Tea: A Case Report Petramfar, Peyman Mohammadi, S. Saeed Hosseinzadeh, Farideh Iran Red Crescent Med J Case Report INTRODUCTION: The syndrome of spontaneous intracranial hypotension has been increasingly diagnosed since its discovery through magnetic resonance imaging (MRI). It is a rare syndrome that is due to the leakage of cerebrospinal fluid (CSF) from a tear in the dura and can occur at any age, even among adolescents, but is most frequently seen among females in late middle age. CASE PRESENTATION: Here, we describe a 32-year-old woman with a two-month history of headaches and occasional nausea and vomiting (N/V). MRI without gadolinium was normal, but meningeal enhancement was seen in MRI with gadolinium. The lumbar puncture revealed a low opening pressure. Computed tomography myelography (CT myelography) showed no leakage; Therefore, idiopathic intracranial hypotension was diagnosed. Treatment was started using tea, and the patient’s headache got significantly better in about a day. CONCLUSIONS: Conservative therapy, such as bed rest and caffeine treatment with eight cups of tea daily, yielded a significant improvement in our patient. Effectively, the patient constitutes a case of idiopathic intracranial hypotension due to undetectable CSF leakage or hyper-absorption, with good response to conservative management through tea-drinking. Further investigations with an appropriate sample size are needed in order to confirm this intervention in the treatment of idiopathic intracranial hypotension. Kowsar 2016-05-17 /pmc/articles/PMC5002997/ /pubmed/27621920 http://dx.doi.org/10.5812/ircmj.24620 Text en Copyright © 2016, Iranian Red Crescent Medical Journal http://creativecommons.org/licenses/by-nc/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
spellingShingle Case Report
Petramfar, Peyman
Mohammadi, S. Saeed
Hosseinzadeh, Farideh
Treatment of Idiopathic Intracranial Hypotension With Tea: A Case Report
title Treatment of Idiopathic Intracranial Hypotension With Tea: A Case Report
title_full Treatment of Idiopathic Intracranial Hypotension With Tea: A Case Report
title_fullStr Treatment of Idiopathic Intracranial Hypotension With Tea: A Case Report
title_full_unstemmed Treatment of Idiopathic Intracranial Hypotension With Tea: A Case Report
title_short Treatment of Idiopathic Intracranial Hypotension With Tea: A Case Report
title_sort treatment of idiopathic intracranial hypotension with tea: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5002997/
https://www.ncbi.nlm.nih.gov/pubmed/27621920
http://dx.doi.org/10.5812/ircmj.24620
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