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Review Case Reports
Spontaneous intracranial hypotension in childhood: a case report and review of the literature.
- Eunice K Chan, Bernard Yan, and Monique M Ryan.
- Children's Neurosciences Centre, The Royal Children's Hospital Melbourne, Flemington Road, Parkville, Victoria, Australia.
- J. Child Neurol. 2011 Jun 1; 26 (6): 761-6.
AbstractSpontaneous intracranial hypotension results from 1 or more spontaneous spinal cerebrospinal fluid leaks, and generally presents with severe and persisting orthostatic headache. Diagnosis can be difficult as spontaneous intracranial hypotension is very rare in childhood and has a wide spectrum of clinical features and neuroimaging findings. Lumbar autologous epidural blood patch can be helpful for confirmation of diagnosis and symptom relief. We report a 15-year-old female with spontaneous intracranial hypotension who experienced immediate resolution of her symptoms following lumbar autologous epidural blood patch on 2 occasions, and review the literature on this well-recognized but probably underdiagnosed headache syndrome in childhood.
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