Cargando…
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...
Autores principales: | , , |
---|---|
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 |
_version_ | 1782450601597075456 |
---|---|
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. |
format | Online Article Text |
id | pubmed-5002997 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Kowsar |
record_format | MEDLINE/PubMed |
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 |
work_keys_str_mv | AT petramfarpeyman treatmentofidiopathicintracranialhypotensionwithteaacasereport AT mohammadissaeed treatmentofidiopathicintracranialhypotensionwithteaacasereport AT hosseinzadehfarideh treatmentofidiopathicintracranialhypotensionwithteaacasereport |