title: Rebound intracranial hypertension after treatment of spontaneous intracranial hypotension.
abstract: Spontaneous intracranial hypotension (SIH) is characterized by orthostatic headache and the cause is usually cerebrospinal fluid leaks in spine level. Most patients with SIH have a benign course. Epidural blood patch (EBP) is the treatment of choice when initial conservative managements are ineffective. We reported a patient with SIH diagnosed by using magnetic resonance imaging and radionuclide cisternography. Acute rebound intracranial hypertension developed after EBP and was successfully treated with intravenous osmotic agent.
authors.affiliation: Department of Neurology, E-Da Hospital, I-Shou University, Kaohsiung County, Taiwan.
authors.forename: H
authors.initials: H
authors.lastname: Tsui
authors.forename: S
authors.initials: S
authors.lastname: Wu
authors.forename: H
authors.initials: H
authors.lastname: Kuo
authors.forename: C
authors.initials: C
authors.lastname: Chen
mesh_terms: D000328:Adult; D017217:Blood Patch, Epidural / Q000009:adverse effects*; D015170:Cerebrospinal Fluid Pressure / Q000502:physiology; D006801:Humans; D019585:Intracranial Hypotension / Q000000981:diagnostic imaging / Q000473:pathology / Q000628:therapy*; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D011877:Radionuclide Imaging; D012008:Recurrence; D013353:Subdural Effusion / Q000209:etiology*; D016896:Treatment Outcome