A notable improvement in spontaneous intracranial hypotension (SIH) after delivery in a pregnant woman: A case report

Radiology Case Reports

article

Hamid Reihani¹  Fariba Zarei¹  Amirhossein Soltani¹  Mahdi Saeedi-Moghadam¹ 

[1] Student Research Committee, School of Medicine, Shiraz University of Medical Sciences

关键词: Intracranial hypotension;    Orthostatic headache;    Pregnant women;    Pregnancy;   

DOI  :  10.1016/j.radcr.2022.06.103

学科分类：生物化学工程

来源: University of Washington * Department of Radiology

【 摘 要 】

Spontaneous intracranial hypotension (SIH) is a rare condition where the CSF pressure is lower than expected. In this report, we introduce a case of SIH in a 32-year-old pregnant woman who came to our emergency department at 32 weeks’ gestation with a postural and bilateral headache. After MRI confirmation, conservative treatment was started for her, and a cesarean section was scheduled. After the operation, CT-myelography and CT-cisternography were performed for the patient to find the source of the CSF leak , which was located in the C3-C5 level. Still, due to the dangerous nature of the operation, the patient continued supportive treatment and had a significant improvement in his next MRI without any invasive procedure.

【 授权许可】

CC BY|CC BY-NC-ND