PMID: 11336758May 5, 2001Paper

Spontaneous intracranial hypotension during pregnancy

Obstetrics and Gynecology
H AsakuraT Araki

Abstract

Spontaneous intracranial hypotension is characterized by postural headache associated with low cerebrospinal fluid pressure. A 37-year-old Japanese woman, gravida 3, para 2, had sudden onset of severe postural headache at 8 weeks' gestation, accompanied by nausea and vomiting. Results of medical and neurologic examinations were normal, and there was no measurable cerebrospinal fluid pressure on lumbar puncture. Brain magnetic resonance imaging showed diffuse subdural fluid collection and a narrowing of the ambient cistern, confirming the diagnosis of spontaneous intracranial hypotension. After a month of bed rest and intravenous fluid infusion, all symptoms subsided gradually and did not recur. Obstetricians should be aware that spontaneous intracranial hypotension can occur in pregnancy.

References

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Citations

Jun 2, 2006·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Ivan BelCarmen Gomar
Nov 29, 2007·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·S AlbayramA Baş
Jan 1, 2010·BMJ Case Reports·Emer McGrathMichal J Hennessy
Dec 17, 2010·The Journal of Obstetrics and Gynaecology Research·Deniz Yerdelen, Mehmet Karataş
Oct 1, 2016·Journal of Clinical Anesthesia·Joséphine GrangeGuillaume Ducarme
Aug 16, 2014·The Journal of Headache and Pain·Emma DevenneyRaeburn B Forbes
Jan 24, 2009·International Journal of Obstetric Anesthesia·T SinghA Bhide

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