Recurrent spontaneous intracranial hypotension in early pregnancy.
Spontaneous intracranial hypotension (SIH) is an uncommon condition characterised by postural headache secondary to low cerebrospinal fluid pressure. Here we present a case of recurrence of SIH in early pregnancy in a 26-year-old woman. She first presented at the age of 21 years at 15 weeks' gestation with a history of headache, nausea, vomiting, neck stiffness and photophobia. Findings from a MRI brain scan led to a diagnosis of SIH. She was treated with autologous epidural blood patching and remained asymptomatic until her second pregnancy 5 years later, when she re-presented at 16 weeks' gestation with similar symptoms. She was again diagnosed with SIH and required a repeat treatment of autologous epidural blood patching. She subsequently remained symptom free and delivered a healthy boy at term.
Department of Neurology, University College Hospital, Galway, Ireland. emermc.grath@gmail.com
Emer
E
McGrath
Thomas S
TS
Monaghan
Michael
M
Alexander
Michal J
MJ
Hennessy
D000328:Adult; D005260:Female; D006801:Humans; D019585:Intracranial Hypotension / Q000175:diagnosis*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis*; D012008:Recurrence