Rinshō shinkeigaku = Clinical neurology
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Case Reports
[A case of spontaneous intracranial hypotension with multiple CSF leaks in the thoracic region].
A case of spontaneous intracranial hypotension (SIH) with multiple cerebrospinal fluid (CSF) leaks is reported. A 54-year-old man experienced a severe generalized headache associated with nausea and decreased hearing. The headache appeared when he was sitting or standing but was completely relieved by lying down. ⋯ After receiving EBP four times repeatedly, his symptoms entirely disappeared. SIH patients with multiple CSF leaks are rare in the literature. Although no consensus exists on the treatment strategy for such cases, our case suggests that at least 2 EBPs should be performed for each leak site before considering surgical treatment.