Cervical disc herniation as a rare cause of intracranial hypotension: a case report
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Spontaneous intracranial hypotension (SIH) results from a leakage of cerebrospinal fluid (CSF) in the absence of clear antecedent trauma or lumbar puncture . The resulting CSF hypotension can cause postural headache and is now becoming increasingly recognized as a possible cause of spontaneous chronic headaches . SIH is thought to be precipitated either by damaging a previously weakened meningeal sac via some trivial stressor such as coughing or physical exercise [3, 4], or more rarely, by dura tears from spondylotic bone spurs . Five cases of spontaneous intracranial hypotension (SIH) secondary to a dura piercing caused by osteophytic spur have been reported to date , and no cases have been reported for SIH related to intervertebral disc herniation. Here, we report a patient with intracranial hypotension likely due to the herniation of a C4-5 intervertebral disc.
A 54-year-old female presented to hospital with a sudden onset of upper neck pain and headache while watching...
Compliance with ethical standards
This study was approved by the Ethics Committee of Shanghai Changhai Hospital.
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