title: Spontaneous intracranial hypotension in childhood: a case report and review of the literature.
abstract: Spontaneous intracranial hypotension results from 1 or more spontaneous spinal cerebrospinal fluid leaks, and generally presents with severe and persisting orthostatic headache. Diagnosis can be difficult as spontaneous intracranial hypotension is very rare in childhood and has a wide spectrum of clinical features and neuroimaging findings. Lumbar autologous epidural blood patch can be helpful for confirmation of diagnosis and symptom relief. We report a 15-year-old female with spontaneous intracranial hypotension who experienced immediate resolution of her symptoms following lumbar autologous epidural blood patch on 2 occasions, and review the literature on this well-recognized but probably underdiagnosed headache syndrome in childhood.
authors.affiliation: Children's Neurosciences Centre, The Royal Children's Hospital Melbourne, Flemington Road, Parkville, Victoria, Australia.
authors.forename: Eunice K
authors.initials: EK
authors.lastname: Chan
authors.forename: Bernard
authors.initials: B
authors.lastname: Yan
authors.forename: Monique M
authors.initials: MM
authors.lastname: Ryan
mesh_terms: D000293:Adolescent; D017217:Blood Patch, Epidural / Q000009:adverse effects*; D005260:Female; D006261:Headache / Q000150:complications; D006801:Humans; D019585:Intracranial Hypotension / Q000150:complications / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology*; D008279:Magnetic Resonance Imaging