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Case Report

Intracranial Hypotension from Intrathecal Baclofen Pump Insertion

A Case Report and Review of the Literature
Lad S.P. · Li G. · Lin S.-C. · Henderson J.M.

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Department of Neurosurgery, Stanford University School of Medicine, Stanford, Calif., USA

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Stereotact Funct Neurosurg 2008;86:75–79

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Article / Publication Details

First-Page Preview
Abstract of Case Report

Published online: December 12, 2007
Issue release date: March 2008

Number of Print Pages: 5
Number of Figures: 2
Number of Tables: 1

ISSN: 1011-6125 (Print)
eISSN: 1423-0372 (Online)

For additional information: https://www.karger.com/SFN

Abstract

Intracranial hypotension is a syndrome of low cerebrospinal fluid pressure with a variable clinical presentation ranging from postural headaches to coma. A number of neuroradiologic techniques are now available to aid in the diagnosis of this syndrome (CT, MRI, radioisotope cisternography and CT myelography), each showing specific radiographic abnormalities. In this report, we present a case of intracranial hypotension secondary to baclofen pump placement. We review the major clinical findings, neuroimaging abnormalities, key diagnostic features as well as treatment options.

© 2007 S. Karger AG, Basel


References

  1. Kremer S, Taillandier L, Schmitt E, Bologna S, Moret C, Picard L, Bracard S: Atypical clinical presentation of intracranial hypotension: coma. J Neurol 2005;252:1399–1400.
  2. Evans RW: Case studies of uncommon headaches. Neurol Clin 2006;24:347–362.
  3. Sumer MM, Tekkok IH: Clinical features and long-term results of spontaneous intracranial hypotension. Neurosurgery 2006;58:E799.
  4. Matsumura A, Anno I, Nose T, Fujimoto A, Shibata Y, Okazaki M: Intracranial hypotension. J Neurosurg 2001;95:914–916.
  5. Lay CM: Low cerebrospinal fluid pressure headache. Curr Treat Options Neurol 2002;4:357–363.
  6. Evan RW, Mokri B: Spontaneous intracranial hypotension resulting in coma. Headache 2002;42:159–160.
  7. Mokri B, Posner JB: Spontaneous intracranial hypotension: the broadening clinical and imaging spectrum of CSF leaks. Neurology 2000;55:1771–1772.
  8. Grimaldi D, Mea E, Chiapparini L, Ciceri E, Nappini S, Savoiardo M, Castelli M, Cortelli P, Carriero MR, Leone M, Bussone G: Spontaneous low cerebrospinal pressure: a mini review. Neurol Sci 2004;25(suppl 3):S135–S137.
  9. Schievink WI: Spontaneous spinal cerebrospinal fluid leaks: a review. Neurosurg Focus 2000;9:e8.
  10. Akkawi N, Locatelli P, Borroni B, Agosti C, Pezzini A, Stefini R, Padovani A: A complicated case of intracranial hypotension: diagnostic and management strategies. Neurol Sci 2006;27:63–66.
  11. Binder DK, Sarkissian V, Dillon WP, Weinstein PR: Spontaneous intracranial hypotension associated with transdural thoracic osteophyte reversed by primary dural repair. Case report. J Neurosurg Spine 2005;2:614–618.
  12. Browd SR, Gottfried ON, Ragel BT, Kestle JR: Failure of cerebrospinal fluid shunts. 2. Overdrainage, loculation, and abdominal complications. Pediatr Neurol 2006;34:171–176.
  13. Hlincik P, Nowitzke A: Rapid fluctuations in conscious state in a patient with an extensive spinal dural fistula. J Clin Neurosci 2005;12:717–720.
  14. Inamasu J, Guiot BH: Intracranial hypotension with spinal pathology. Spine J 2006;6:591–599.
  15. Leibold RA, Yealy DM, Coppola M, Cantees KK: Post-dural-puncture headache: characteristics, management, and prevention. Ann Emerg Med 1993;22:1863–1870.
  16. Lupo I, Salemi G, Fierro B, Brighina F, Daniele O, Caronia A, Saia V, Savettieri G: Headache in cerebrospinal fluid volume depletion syndrome: a case report. Funct Neurol 2006;21:43–46.
  17. Maher CO, Meyer FB, Mokri B: Surgical treatment of spontaneous spinal cerebrospinal fluid leaks. Neurosurg Focus 2000;9:e7.
  18. Mokri B: Cerebrospinal fluid volume depletion and its emerging clinical/imaging syndromes. Neurosurg Focus 2000;9:e6.
  19. Mokri B: Headaches caused by decreased intracranial pressure: diagnosis and management. Curr Opin Neurol 2003;16:319–326.
  20. Morelli N, Gallerini S, Gori S, Chiti A, Cosottini M, Orlandi G, Murri L: Intracranial hypotension syndrome following chiropractic manipulation of the cervical spine. J Headache Pain 2006;7:211–213.
    External Resources
  21. Sharma P, Sharma A, Chacko AG: Syringomyelia in spontaneous intracranial hypotension. Case report. J Neurosurg 2001;95:905–908.
  22. Schievink WI: Spontaneous spinal cerebrospinal fluid leaks and intracranial hypotension. JAMA 2006;295:2286–2296.
  23. Marcelis J, Silberstein SD: Spontaneous low cerebrospinal fluid pressure headache. Headache 1990;30:192–196.
  24. Ferrante E, Savino A, Sances G, Nappi G: Spontaneous intracranial hypotension syndrome: report of twelve cases. Headache 2004;44:615–622.
  25. Kong DS, Park K, Nam DH, Lee JI, Kim JS, Eoh W, Kim JH: Clinical features and long-term results of spontaneous intracranial hypotension. Neurosurgery 2005;57:91–96.
  26. Diaz JH: Epidemiology and outcome of postural headache management in spontaneous intracranial hypotension. Reg Anesth Pain Med 2001;26:582–587.
  27. Schievink WI: Misdiagnosis of spontaneous intracranial hypotension. Arch Neurol 2003;60:1713–1718.
  28. Schwedt TJ, Matharu MS, Dodick DW: Thunderclap headache. Lancet Neurol 2006;5:621–631.
  29. Chung SJ, Lee JH, Im JH, Lee MC: Short- and long-term outcomes of spontaneous CSF hypovolemia. Eur Neurol 2005;54:63–67.
  30. Bell WE, Joynt RJ, Sahs AL: Low spinal fluid pressure syndromes. Neurology 1960;10:512–521.
  31. Horikoshi T, Ikegawa H, Uchida M, Takahashi T, Watanabe A, Umeda T: Tracer clearance in radionuclide cisternography in patients with spontaneous intracranial hypotension. Cephalalgia 2006;26:1010–1015.
  32. Chen CC, Luo CL, Wang SJ, Chern CM, Fuh JL, Lin SH, Hu HH: Colour doppler imaging for diagnosis of intracranial hypotension. Lancet 1999;354:826–829.
  33. Roll JD, Larson TC 3rd, Soriano MM: Cerebral angiographic findings of spontaneous intracranial hypotension. AJNR Am J Neuroradiol 2003;24:707–708.
  34. Silberstein SD, Marcelis J: Low CSF pressure. Neurology 1993;43:1060–1061.
  35. Kashmere JL, Jacka MJ, Emery D, Gross DW: Reversible coma: a rare presentation of spontaneous intracranial hypotension. Can J Neurol Sci 2004;31:565–568.
  36. Rozec B, Guillon B, Desal H, Blanloeil Y: Early blood-patch for spontaneous intracranial hypotension. Can J Anaesth 2004;51:944–945.

Article / Publication Details

First-Page Preview
Abstract of Case Report

Published online: December 12, 2007
Issue release date: March 2008

Number of Print Pages: 5
Number of Figures: 2
Number of Tables: 1

ISSN: 1011-6125 (Print)
eISSN: 1423-0372 (Online)

For additional information: https://www.karger.com/SFN


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Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
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