Atypical spontaneous intracranial hypotension with a head-shaking headache.
Spontaneous intracranial hypotension (SIH) is typically characterized by orthostatic headache; however, various atypical manifestations of SIH have been reported recently. We report here the case of a 46-year-old man with headache secondary to SIH, which was nonorthostatic, triggered only when the patient shook his head. We suggest that SIH should be suspected in patients with headache induced by head-shaking, even without orthostatic features, especially when the headache is accompanied by other symptoms commonly associated with SIH.
Seok
Hung Youl
HY
Department of Neurology, Korea University College of Medicine, Ansan-city, Gyeonggi-do, Korea.
Eun
Mi-Yeon
MY
Choi
Jeong-Yoon
JY
Roh
Jee Hoon
JH
Park
Moon Ho
MH
Park
Kun Woo
KW
Kwon
Do-Young
DY
D001510:Bed Rest / Q000592:standards; D019416:Head Movements / Q000502:physiology*; D020773:Headache Disorders / Q000209:etiology* / Q000503:physiopathology* / Q000517:prevention & control; D006801:Humans; D019585:Intracranial Hypotension / Q000150:complications* / Q000503:physiopathology*; D008297:Male; D008875:Middle Aged; D011187:Posture / Q000502:physiology; D013353:Subdural Effusion / Q000150:complications / Q000503:physiopathology / Q000601:surgery