title: [Orthostatic headache with tachycardia].
abstract: We report the case of a 17 year old male patient who presented with a history of orthostatic headache (present in the upright position only) for several months. The diagnostic investigations (MRI of the head and of the spine, lumbar puncture) revealed no signs of an intracranial hypotension or a CSF leak. In standing position, a significant raise of the heart rate (>40 bpm) without fall of the blood pressure occurred together with a bilateral, pressure-like headache. A diagnosis of postural tachycardia syndrome was made. Treatment with increase of fluid and salt intake, elastic compression stockings and regular exercise was successful.
authors.affiliation: Neurologische Universitätsklinik, Inselspital, Universitätsspital Bern. jan.mathys@insel.ch
authors.forename: J
authors.initials: J
authors.lastname: Mathys
authors.forename: I
authors.initials: I
authors.lastname: Beiser
authors.forename: G
authors.initials: G
authors.lastname: Maurer
authors.forename: A M
authors.initials: AM
authors.lastname: Humm
mesh_terms: D000293:Adolescent; D003131:Combined Modality Therapy; D003937:Diagnosis, Differential; D015444:Exercise; D005440:Fluid Therapy; D006261:Headache / Q000209:etiology*; D006801:Humans; D008297:Male; D009460:Neurologic Examination; D010348:Patient Care Team; D054972:Postural Orthostatic Tachycardia Syndrome / Q000175:diagnosis* / Q000534:rehabilitation; D011187:Posture; D012050:Rehabilitation, Vocational; D017673:Sodium Chloride, Dietary / Q000008:administration & dosage; D013610:Tachycardia / Q000209:etiology*
chemical_list: D017673:Sodium Chloride, Dietary