Advertisement

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
  • 78 Downloads

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...

Notes

Compliance with ethical standards

Ethics statement

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

References

  1. 1.
    Ferrante E, Rubino GF, Passarani S, Arpino I (2010) Spontaneous intracranial hypotension. J Neurosurg 113(2):397–398 author reply 8-9CrossRefPubMedGoogle Scholar
  2. 2.
    Schwedt TJ, Dodick DW (2007) Spontaneous intracranial hypotension. Curr Pain Headache Rep 11:56–61CrossRefPubMedGoogle Scholar
  3. 3.
    Schievink WI, Gordon OK, Tourje J (2004) Connective tissue disorders with spontaneous cerebrospinal fluid leaks and intracranial hypotension: a prospective study. Neurosurgery 54:65–71CrossRefPubMedGoogle Scholar
  4. 4.
    Mokri B, Maher CO, Sencakova D (2002) Spontaneous CSF leaks: underlying disorders of connective tissue. Neurology 58:814–816CrossRefPubMedGoogle Scholar
  5. 5.
    Cullan AM, Grover ML (2011) 56-year-old woman with positional headache. Mayo Clin Proc 86(6):e35–e38CrossRefPubMedPubMedCentralGoogle Scholar
  6. 6.
    Witiw CD, Fallah A, Muller PJ, Ginsberg HJ (2012) Surgical treatment of spontaneous intracranial hypotension secondary to degenerative cervical spine pathology: a case report and literature review. Eur Spine J 21(Suppl 4):S422–S427CrossRefPubMedGoogle Scholar
  7. 7.
    Çelik Y, Tekataş A, Albayram S, Gündüz A, Asil T, Ünlü E, Özlece Köse H (2015) Spontaneous intracranial hypotension presenting with coma: a case report and literature review. Agri 27(3):160–162PubMedGoogle Scholar
  8. 8.
    Gordon N (2009) Spontaneous intracranial hypotension. Dev Med Child Neurol 51(12):932–935CrossRefPubMedGoogle Scholar
  9. 9.
    Mokri B (2014) Spontaneous CSF leaks: low CSF volume syndromes. Neurol Clin 32:397–422CrossRefPubMedGoogle Scholar
  10. 10.
    Chang T, Rodrigo C, Samarakoon L (2015) Spontaneous intracranial hypotension presenting as thunderclap headache: a case report. Chang et al. BMC Res Notes 8:108Google Scholar
  11. 11.
    Mokri B (2015) Spontaneous intracranial hypotension. Continuum (Minneap Minn) 21(4):1086–1108Google Scholar
  12. 12.
    Kakisaka Y, Sato S, Takayanagi M, Nakasato N (2016) Epilepsy case with focal cerebral herniation into the sigmoid sinus. Neurol Sci 37(3):487–488CrossRefPubMedGoogle Scholar

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

Personalised recommendations