Spontaneous cerebrospinal fluid leak following a pilates class: a case report

Journal of Medical Case Reports

Nick Moran¹  Bu Hayee²  Patrick Dubois²  Sukhdev Chatu²  Irini Yanny²  James Davis² 

[1] Department of Neurology, Kings College Hospital, Denmark Hill, London SE5 9RS, UK;Department of Gastroenterology, Kings College Hospital, Denmark Hill, London SE5 9RS, UK

关键词: Connective tissue disorder;    Epidural blood patch;    Low pressure headache;    Subdural hematoma;    Pilates;    Cerebrospinal fluid leak;   

Others  :  1180866
DOI  :  10.1186/1752-1947-8-456

 received in 2014-08-11, accepted in 2014-11-10,  发布年份 2014

【 摘 要 】

Introduction

A spinal cerebrospinal fluid leak is the most common cause of spontaneous intracranial hypotension which is an uncommon but increasingly recognized cause of headache. This article describes the first reported case of pilates being associated with a spontaneous spinal cerebrospinal fluid leak whilst also highlighting the key information about spontaneous cerebrospinal fluid leaks that will be useful to the general clinician.

Case presentation

We present the case of a 42-year-old Caucasian woman who developed a low-pressure headache following a pilates class. A computed tomography scan of her head demonstrated bilateral chronic subdural hematomas and cerebellar descent. Magnetic resonance imaging of her spine revealed the presence of extensive extradural cerebrospinal fluid collections. She responded to conservative management and repeat neuroimaging after symptom resolution revealed no abnormalities.

Conclusions

Awareness and early recognition of spontaneous intracranial hypotension is important to prevent unnecessary investigations and delay in treatment. Pilates may be a risk factor for the development of a spontaneous cerebrospinal fluid leak.

【 授权许可】

   
2014 Davis et al.; licensee BioMed Central.

【 图 表 】

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【 参考文献 】

• [1]Schievink WI: Spontaneous spinal cerebrospinal fluid leaks and intracranial hypotension. JAMA 2006, 295(19):2286-2296.
• [2]Chung SJ, Kim JS, Lee MC: Syndrome of cerebral spinal fluid hypovolemia: clinical and imaging features and outcome. Neurology 2000, 55(9):1321-1327.