title: Refractory headache due to spontaneous intracranial hypotension from a CSF leak at C1-2.
abstract: A case of spontaneous intracranial hypotension presenting with refractory headaches is reported. After exhaustive investigation, the cause of the patient's symptoms was found to be spontaneous leak of CSF at the C1-2 level. The patient underwent surgical repair of the CSF leak and made a good recovery. This case represents a typical presentation of a rare condition. The investigation and treatment of this condition is discussed.
authors.affiliation: Kenneth G. Jamieson Department of Neurosurgery, Royal Brisbane Hospital, Herston, Australia. david_walker@health.qld.gov.au
authors.forename: D G
authors.initials: DG
authors.lastname: Walker
mesh_terms: D002555:Cerebrospinal Fluid / Q000378:metabolism*; D004172:Diplopia / Q000209:etiology; D018450:Disease Progression; D006261:Headache / Q000209:etiology*; D006801:Humans; D019585:Intracranial Hypotension / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000209:etiology; D008297:Male; D008875:Middle Aged; D013353:Subdural Effusion / Q000000981:diagnostic imaging / Q000601:surgery*; D014012:Tinnitus / Q000209:etiology; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014786:Vision Disorders / Q000209:etiology