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Spontaneous Intracranial Hypotension: A Casereport, I-Chou Wang, Jue-Long Wang, Yuk-Keung Lo, Sung-Lin Yu, Shwu-Fen Sun

Rehabilitation Practice and Science

Spontaneous intracranial hypotension (SIH) is a syndrome with feature of low cerebrospinal fluid pressure (CSF) resulting from CSF leakage without any history of dural puncture, surgery, or penetrating trauma. The most characteristic feature of the syndrome is a postural headache. The headache is accentuated when the patient is in the upright position and relieved in the recumbent position. Associated symptoms include stiff neck, nausea, vomiting, tinnitus, hyperacusis, deafness, photophobia, diplopia, nystagmus, visual loss, vertigo, anorexia, malaise, and cranial nerves palsy. SIH is treated by bedrest with fluid supplementation, oral caffeine, intrathecal saline infusion or epidural blood patch. If postural headache …