Spontaneous intracranial hypotension (SIH) is characterized by orthostatic headache and the cause is usually cerebrospinal fluid leaks in spine level. Most patients with SIH have a benign course. Epidural blood patch (EBP) is the treatment of choice when initial conservative managements are ineffective. We reported a patient with SIH diagnosed by using magnetic resonance imaging and radionuclide cisternography. Acute rebound intracranial hypertension developed after EBP and was successfully treated with intravenous osmotic agent.
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Univ Arkansas Med Sci, Dept Neurol, 4301 W Markham St,Slot 500, Little Rock, AR 72205 USAUniv Arkansas Med Sci, Dept Neurol, 4301 W Markham St,Slot 500, Little Rock, AR 72205 USA
Limaye, Kaustubh
Samant, Rohan
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Univ Arkansas Med Sci, Dept Radiol, 4301 W Markham St, Little Rock, AR 72205 USAUniv Arkansas Med Sci, Dept Neurol, 4301 W Markham St,Slot 500, Little Rock, AR 72205 USA
Samant, Rohan
Lee, Ricky W.
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Univ Arkansas Med Sci, Dept Neurol, 4301 W Markham St,Slot 500, Little Rock, AR 72205 USAUniv Arkansas Med Sci, Dept Neurol, 4301 W Markham St,Slot 500, Little Rock, AR 72205 USA