6 research outputs found
Case Report - Syndrome of spontaneous cerebrospinal fluid hypovolemia: Report of six cases
Syndrome of spontaneous cerebrospinal fluid hypovolemia (SCH) is a rare
cause of new onset headache. We report six cases of SCH presenting with
new onset headache. All six cases were females. Acute onset orthostatic
headache and neck pain were the chief characteristics of SCH in our
cases. The MRI brain showed pachymeningeal gadolinium enhancement in
all patients. Spinal extradural CSF collection was demonstrable on MRI
in three cases. All cases improved with conservative therapy. High
index of clinical suspicion and contrast enhanced MRI brain is the key
to accurate diagnosis in the majority of cases