Betül YALÇINER, Ceyhan Ayten DİRİCAN, Yavuz ALTUNKAYNAK, Fatih AKTAŞ, Ulaş YEŞİL, Sevim BAYBAŞ, Musa ÖZTÜRK

Spontan intrakranyal hipotansiyona bağlı başağrısı: İki olgu sunumu

Spontan intrakranyal hipotansiyon, ortostatik baş ağrısının ana semptom olduğu bir sendromdur. Karakteristik olarak baş ağrısı ayakta iken ortaya çıkar, yatar pozisyonda ise hafifler yada geçer. Nadiren de olsa hayati tehlike doğuracak komplikasyon geliştirebilmesi nedeniyle tanı ve tedavisi oldukça önemlidir. Bu yazıda spontan intrakranyal hipotansiyon tanısı alan biri erkek diğeri bayan iki olgu, seyrek görülen bu sendromun tipik özelliklerini taşıması nedeniyle sunulmuştur. Postural özellikli baş ağrısı yakınması ile başvuranlarda, oldukça seyrek görülen spontan intrakranyal hipotansiyon sendromunun akla gelmesi ve buna yönelik aştırmaların yapılması uygun olacaktır.

Headache related to spontaneous intracranical hypotension presentation of 2 cases

Background and Design.- Spontaneous intracranial hypotension is a syndrome which the orthostatic headache is the main symptom. Characteristically, headache appears in upright position or deteriorates, while it improves or completely recovers in lying position. Diagnosis and treatment are rather important since, although rarely encountered, it may lead to complications which may cause to vital risk. Observation.- In this article, 2 cases diagnosed with SIH ( one male and one female) are presented for the reason that these cases bear the typical specifications of this rarely met syndrome. It will be appropriate to think of SIH syndrome which quite seldom observed and to make the researches this syndrome oriented especially for the patients applying with the complaint of headache with postural features.

PDF

___

1. Blank SC, Shakir RA, Bindoff LA. Spontaneous intracranial hypotension: Clinical and magnetic resonance imaging characteristics. Clinical Neurology and Neurosurgery 1997, 99: 199-204.
2. Eross EJ, Dodick DW, Nelson KD. Orthostatic headache syndrome with CSF leak secondary to bony pathology of the cervical spine. Cephalalgia 2002; 22: 439-443.
3. Hong M, Shah GV, Adams KM. Spontaneous intracranial hypotension causing reversibl frontotemporal dementia. Neugrology 2002; 58: 1285-1287.
4. Mokri B. Headaches caused by decreased intracranial pressure: diagnosis and management. Curr Opin Neurol 16; 319-326.
5. Mokri B, Atkinson JLD, Piepgras DG. Absent headache despite CSF volume depletion (intracraniaal hypotension). Neugrology 2000; 55: 1722-1724.
6. Alvarez-Linera J, Escribano J, Benito- Leon J. Pituitary enlargement in patients with intracranial hipotension syndrome. Neugrology 2000; 55: 1895-1897.
7. Mokri B. Spontaneous CSF leaks mimicking benign exertional haeadaches. Cephalalgia 2002; 22: 780-783.
8. Mokri B, Aksamit AJ, Atkinson JLD. Paradoxical postural headaches in cerebrospinal fluid leaks. Cephalalgia 2004; 24: 883-887.
9. Chung SJ, Im JH, Lee JH. Determining factors related to pachymeningeal enhancement on brain MRI in CSF hypovolemia. Cephalalgia 2004; 24: 903-905.