Orthostatic Headaches Associated With Spontaneous Intracranial Hypotension and Autonomic Dysfunction—A Case Series in Young Patients

Background: Orthostatic headaches can be noted in spontaneous intracranial hypotension and orthostatic intolerance. We present a case series of young patients diagnosed with spontaneous intracranial hypotension and were treated for the same but subsequently developed orthostatic intolerance. Methods...

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Autores principales:	Ankita Ghosh MD, Yen X. Tran MD, Leon Grant DO, MS, MPH, Mohammed T. Numan MD, Rajan Patel MD, Ian J. Butler MBBS, FRACP
Formato:	article
Lenguaje:	EN
Publicado:	SAGE Publishing 2021
Materias:	Pediatrics RJ1-570 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/8d37428e36f4459d8f8a9089bc72b5ed
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spelling	oai:doaj.org-article:8d37428e36f4459d8f8a9089bc72b5ed2021-11-19T22:33:19ZOrthostatic Headaches Associated With Spontaneous Intracranial Hypotension and Autonomic Dysfunction—A Case Series in Young Patients2329-048X10.1177/2329048X211056709https://doaj.org/article/8d37428e36f4459d8f8a9089bc72b5ed2021-11-01T00:00:00Zhttps://doi.org/10.1177/2329048X211056709https://doaj.org/toc/2329-048XBackground: Orthostatic headaches can be noted in spontaneous intracranial hypotension and orthostatic intolerance. We present a case series of young patients diagnosed with spontaneous intracranial hypotension and were treated for the same but subsequently developed orthostatic intolerance. Methods: We retrospectively reviewed charts for seven young patients with orthostatic headaches related to spontaneous intracranial hypotension and orthostatic intolerance. Results: Patients were diagnosed with spontaneous intracranial hypotension. Diagnosis was confirmed by identifying epidural contrast leakage and three of seven patients were noted to have early renal contrast excretion on computerized tomography myelography. Patients were treated with epidural blood patches. All patients showed persistent symptoms of autonomic dysfunction after treatment of spontaneous intracranial hypotension and orthostatic intolerance was confirmed with head-up tilt table test. Conclusions: Patients with spontaneous intracranial hypotension failing to improve following epidural blood patching should be evaluated for orthostatic intolerance.Ankita Ghosh MDYen X. Tran MD Leon Grant DO, MS, MPHMohammed T. Numan MDRajan Patel MDIan J. Butler MBBS, FRACPSAGE PublishingarticlePediatricsRJ1-570Neurology. Diseases of the nervous systemRC346-429ENChild Neurology Open, Vol 8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Pediatrics RJ1-570 Neurology. Diseases of the nervous system RC346-429
spellingShingle	Pediatrics RJ1-570 Neurology. Diseases of the nervous system RC346-429 Ankita Ghosh MD Yen X. Tran MD Leon Grant DO, MS, MPH Mohammed T. Numan MD Rajan Patel MD Ian J. Butler MBBS, FRACP Orthostatic Headaches Associated With Spontaneous Intracranial Hypotension and Autonomic Dysfunction—A Case Series in Young Patients
description	Background: Orthostatic headaches can be noted in spontaneous intracranial hypotension and orthostatic intolerance. We present a case series of young patients diagnosed with spontaneous intracranial hypotension and were treated for the same but subsequently developed orthostatic intolerance. Methods: We retrospectively reviewed charts for seven young patients with orthostatic headaches related to spontaneous intracranial hypotension and orthostatic intolerance. Results: Patients were diagnosed with spontaneous intracranial hypotension. Diagnosis was confirmed by identifying epidural contrast leakage and three of seven patients were noted to have early renal contrast excretion on computerized tomography myelography. Patients were treated with epidural blood patches. All patients showed persistent symptoms of autonomic dysfunction after treatment of spontaneous intracranial hypotension and orthostatic intolerance was confirmed with head-up tilt table test. Conclusions: Patients with spontaneous intracranial hypotension failing to improve following epidural blood patching should be evaluated for orthostatic intolerance.
format	article
author	Ankita Ghosh MD Yen X. Tran MD Leon Grant DO, MS, MPH Mohammed T. Numan MD Rajan Patel MD Ian J. Butler MBBS, FRACP
author_facet	Ankita Ghosh MD Yen X. Tran MD Leon Grant DO, MS, MPH Mohammed T. Numan MD Rajan Patel MD Ian J. Butler MBBS, FRACP
author_sort	Ankita Ghosh MD
title	Orthostatic Headaches Associated With Spontaneous Intracranial Hypotension and Autonomic Dysfunction—A Case Series in Young Patients
title_short	Orthostatic Headaches Associated With Spontaneous Intracranial Hypotension and Autonomic Dysfunction—A Case Series in Young Patients
title_full	Orthostatic Headaches Associated With Spontaneous Intracranial Hypotension and Autonomic Dysfunction—A Case Series in Young Patients
title_fullStr	Orthostatic Headaches Associated With Spontaneous Intracranial Hypotension and Autonomic Dysfunction—A Case Series in Young Patients
title_full_unstemmed	Orthostatic Headaches Associated With Spontaneous Intracranial Hypotension and Autonomic Dysfunction—A Case Series in Young Patients
title_sort	orthostatic headaches associated with spontaneous intracranial hypotension and autonomic dysfunction—a case series in young patients
publisher	SAGE Publishing
publishDate	2021
url	https://doaj.org/article/8d37428e36f4459d8f8a9089bc72b5ed
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Orthostatic Headaches Associated With Spontaneous Intracranial Hypotension and Autonomic Dysfunction—A Case Series in Young Patients

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