Δευτέρα 28 Σεπτεμβρίου 2020

An Adult Case of Hemifacial Spasm as the Predominant Manifestation of Spontaneous Intracranial Hypotension.

An Adult Case of Hemifacial Spasm as the Predominant Manifestation of Spontaneous Intracranial Hypotension.:

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An Adult Case of Hemifacial Spasm as the Predominant Manifestation of Spontaneous Intracranial Hypotension.

Headache. 2020 Sep 26;:

Authors: Chow CY, Harrison N, Fermo OP

PMID: 32979212 [PubMed - as supplied by publisher]





The demonstration of a spinal CSF leak (ie, the presence of extrathecal CSF) is sufficient to diagnose spontaneous intracranial hypotension, regardless of associated symptoms, imaging findings, or results of lumbar puncture and epidural blood patching.




What are the symptoms of intracranial hypotension?
Orthostatic headache relieved on lying down is the most common presentation. This contrasts with the headache of meningitis which is exacerbated by lying down. However, cranial nerve palsies (VI, VII and VIII), nausea, vomiting, coma, tinnitus, vertigo, cervical myelopathy and parkinsonism can be presenting symptoms.

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