title: Surgical treatment of cervical disc protrusion causing intracranial hypotension following chiropractic manipulation.
abstract: We describe a woman with intracranial hypotension provoked by a combination of calcified disc protrusion and chiropractic manipulation who required surgical intervention for definitive treatment. Intracranial hypotension is a rare but increasingly well recognized cause of orthostatic headache that arises due to spinal cerebrospinal fluid leakage from meningeal diverticula or dural perforations.
authors.affiliation: Department of Neurosurgery, St Vincent's Hospital, 390 Victoria Street, Darlinghurst, NSW 2010, Australia. Electronic address: davidnwilson@hotmail.com.
authors.forename: David
authors.initials: D
authors.lastname: Wilson
authors.affiliation: Department of Neurosurgery, St Vincent's Hospital, 390 Victoria Street, Darlinghurst, NSW 2010, Australia.
authors.forename: Timothy
authors.initials: T
authors.lastname: Steel
authors.affiliation: Department of Neurology, St Vincent's Hospital, Darlinghurst, NSW, Australia.
authors.forename: Ian
authors.initials: I
authors.lastname: Sutton
mesh_terms: D065634:Cerebrospinal Fluid Leak / Q000150:complications; D002574:Cervical Vertebrae; D005260:Female; D006261:Headache / Q000209:etiology; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000150:complications / Q000601:surgery*; D019585:Intracranial Hypotension / Q000209:etiology* / Q000601:surgery; D026882:Manipulation, Chiropractic / Q000009:adverse effects*
keywords: Anterior cervical discectomy; Cerebrospinal fluid leak; Cervical disc; Cervical spine; Chiropractic; Intracranial hypotension; Orthostatic headache