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

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 confi...

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Main Authors: Hamid Reihani, MD, Fariba Zarei, MD, Amirhossein Soltani, MD, Mahdi Saeedi-Moghadam, Ph.D
Format: Article
Language:English
Published: Elsevier 2022-10-01
Series:Radiology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043322005441
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author Hamid Reihani, MD
Fariba Zarei, MD
Amirhossein Soltani, MD
Mahdi Saeedi-Moghadam, Ph.D
author_facet Hamid Reihani, MD
Fariba Zarei, MD
Amirhossein Soltani, MD
Mahdi Saeedi-Moghadam, Ph.D
author_sort Hamid Reihani, MD
collection DOAJ
description 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.
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spelling doaj.art-388969665f6a4bf0a1a5a8792a866d012022-12-22T02:16:06ZengElsevierRadiology Case Reports1930-04332022-10-01171037633766A notable improvement in spontaneous intracranial hypotension (SIH) after delivery in a pregnant woman: A case reportHamid Reihani, MD0Fariba Zarei, MD1Amirhossein Soltani, MD2Mahdi Saeedi-Moghadam, Ph.D3Student Research Committee, School of Medicine, Shiraz University of Medical Sciences, Shiraz, IranDepartment of Radiology, Shiraz University of Medical Sciences, Shiraz, Iran; Medical Imaging Research Center, Shiraz University of Medical Sciences Shiraz, Iran; Corresponding author.Department of Radiology, Shiraz University of Medical Sciences, Shiraz, IranMedical Imaging Research Center, Shiraz University of Medical Sciences Shiraz, IranSpontaneous 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.http://www.sciencedirect.com/science/article/pii/S1930043322005441Intracranial hypotensionOrthostatic headachePregnant womenPregnancy
spellingShingle Hamid Reihani, MD
Fariba Zarei, MD
Amirhossein Soltani, MD
Mahdi Saeedi-Moghadam, Ph.D
A notable improvement in spontaneous intracranial hypotension (SIH) after delivery in a pregnant woman: A case report
Radiology Case Reports
Intracranial hypotension
Orthostatic headache
Pregnant women
Pregnancy
title A notable improvement in spontaneous intracranial hypotension (SIH) after delivery in a pregnant woman: A case report
title_full A notable improvement in spontaneous intracranial hypotension (SIH) after delivery in a pregnant woman: A case report
title_fullStr A notable improvement in spontaneous intracranial hypotension (SIH) after delivery in a pregnant woman: A case report
title_full_unstemmed A notable improvement in spontaneous intracranial hypotension (SIH) after delivery in a pregnant woman: A case report
title_short A notable improvement in spontaneous intracranial hypotension (SIH) after delivery in a pregnant woman: A case report
title_sort notable improvement in spontaneous intracranial hypotension sih after delivery in a pregnant woman a case report
topic Intracranial hypotension
Orthostatic headache
Pregnant women
Pregnancy
url http://www.sciencedirect.com/science/article/pii/S1930043322005441
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