Headaches, delusions, and catharsis

Spontaneous intracranial hypotension headache is caused by spontaneous CSF leaks and is an important-but underdiagnosed-cause of headaches of new onset in young and middle-aged patients.1 Typical MRI findings consist of subdural hygromas and enhanced dura mater; myelography can identify the spinal C...

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Bibliographic Details
Published in:The Lancet (British edition) 2009-11, Vol.374 (9701), p.1652-1652
Main Authors: Etgen, Thorleif, Dr, Greil, Oliver, MD, Walter, Thomas, MD, Viermetz, Michael, MD, Freudenberger, Thomas, MD
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Blood Patch, Epidural
Delusions - etiology
Disease Progression
General aspects
Headache - etiology
Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy
Hematoma, Subdural - complications
Hematoma, Subdural - diagnosis
Hematoma, Subdural - therapy
Humans
Hypotension, Orthostatic - complications
Internal Medicine
Magnetic Resonance Imaging
Male
Medical diagnosis
Medical sciences
Medical treatment
Myelography
Nervous system (semeiology, syndromes)
Neurocognitive Disorders - etiology
Neurology
Physical examinations
Subdural Effusion - complications
Subdural Effusion - diagnosis
Subdural Effusion - therapy
Tomography, X-Ray Computed
Citations: Items that this one cites
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Description
Summary:Spontaneous intracranial hypotension headache is caused by spontaneous CSF leaks and is an important-but underdiagnosed-cause of headaches of new onset in young and middle-aged patients.1 Typical MRI findings consist of subdural hygromas and enhanced dura mater; myelography can identify the spinal CSF leak. Therapy includes bed rest, epidural blood patch, and surgical leak repair, although no randomised trials have assessed the outcome of the different strategies.1 A variety of symptoms can occur, although typically comprise headache, nausea, tinnitus, hypoacusia, or photophobia worsening after sitting and standing.
ISSN:0140-6736
1474-547X
DOI:10.1016/S0140-6736(09)61300-3