Neurological Sciences

, Volume 39, Issue 8, pp 1475–1477 | Cite as

Cervical disc herniation as a rare cause of intracranial hypotension: a case report

  • Changfeng Chai
  • Victor Li
  • Xiaoying BiEmail author
Letter to the Editor

Spontaneous intracranial hypotension (SIH) results from a leakage of cerebrospinal fluid (CSF) in the absence of clear antecedent trauma or lumbar puncture [1]. The resulting CSF hypotension can cause postural headache and is now becoming increasingly recognized as a possible cause of spontaneous chronic headaches [2]. 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 [5]. Five cases of spontaneous intracranial hypotension (SIH) secondary to a dura piercing caused by osteophytic spur have been reported to date [6], 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

Ethics statement

This study was approved by the Ethics Committee of Shanghai Changhai Hospital.


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Copyright information

© Springer-Verlag Italia S.r.l., part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of NeurologyShanghai Changhai HospitalShanghaiChina
  2. 2.Djavad Mowafaghian Centre for Brain Health and Department of Medicine, Vancouver Coastal Health Research InstituteUniversity of British ColumbiaVancouverCanada

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