Spontaneous Low Cerebrospinal Fluid Pressure Headache Initially Misdiagnosed as a Tension-type Headache

被引：0

作者：

Nishisako, Hisashi ^{[1
]}

Kunishima, Hiroyuki ^{[1
]}

Shimizu, Gohji ^{[1
]}

Naitou, Yoshiyuki ^{[1
]}

Teruya, Yoko ^{[1
]}

Yokokawa, Masatoshi ^{[1
]}

Masui, Kentaro ^{[1
]}

Hirose, Masanori ^{[1
]}

Sakai, Tsubasa ^{[1
]}

Yamasaki, Yukitaka ^{[1
]}

Tsuchida, Tomoya ^{[1
]}

Nemoto, Takaaki ^{[1
]}

Torikai, Keito ^{[1
]}

Nakagawa, Teisuke ^{[1
]}

Matsuda, Takahide ^{[1
]}

机构：

[1] St Marianna Univ, Sch Med, Dept Internal Med, Div Gen Internal Med, Kawasaki, Kanagawa, Japan

来源：

JOURNAL OF GENERAL AND FAMILY MEDICINE | 2014年 / 15卷 / 01期

关键词：

spontaneous low cerebrospinal fluid pressure headache; chronic headache; orthostatic headache; gadolinium-enhanced brain magnetic resonance imaging; subdural hematoma;

D O I：

暂无

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

We report the case of a 34-year-old man who was initially diagnosed with a tension-type headache after complaining of a headache and nausea. His headache worsened in severity and it was exacerbated on standing in the upright position. The patient was admitted to the hospital on suspicion of spontaneous low cerebrospinal fluid (CSF) pressure headache. Gadolinium-enhanced brain magnetic resonance imaging (MRI) revealed diffuse pachymeningeal enhancement, brain sagging, cerebellar tonsillar herniation, brainstem descent and a subdural hematoma. Successful emergency surgery was undertaken. Spontaneous low CSF pressure headache syndrome is characterized by orthostatic headache, and if such a headache worsens, clinicians should consider a subdural hematoma, a life-threatening complication of this unusual disorder.

引用

页码：43 / 46

页数：4

共 6 条

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