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J Manipulative Physiol Ther · Oct 2006
Case ReportsIntracranial hypotension causing headache and neck pain: a case study.
- Gary A Knutson.
- Bloomington, Ind 47404, USA. gaknutson@aol.com
- J Manipulative Physiol Ther. 2006 Oct 1; 29 (8): 682-4.
ObjectiveThe purpose of this study is to discuss the presentation, examination, diagnosis, and treatment of a case of intracranial hypotension presenting to a chiropractic office as acute severe headache and neck pain.Clinical FeaturesFlexion injury during a weight lift resulted in a severe postural headache and upper cervical spine pain in a 51-year-old man. The patient presented with unusual symptoms, but normal palpatory findings, and a lack of postural distortion.Intervention And OutcomeBased on the history, symptoms, and examination findings, the patient was referred for an emergency medical evaluation. A diagnosis of intracranial hypotension was made, and a dural leak was confirmed by radioisotope cisternography. The patient made a complete recovery.ConclusionsIntracranial hypotension can cause headache and neck pain that may appear to be musculoskeletal in nature. The key symptom is the orthostatic nature of the headache.
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