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KMID : 1001920100470010048
Journal of Korean Neurosurgical Society
2010 Volume.47 No. 1 p.48 ~ p.50
Spontaneous Intracranial Hypotension Secondary to Lumbar Disc Herniation
Kim Kyoung-Tae

Kim Young-Baeg
Abstract
Spontaneous intracranial hypotension is often idiopathic. We report on a patient presenting with symptomatic intracranial hypotension and pain radiating to the right leg caused by a transdural lumbar disc herniation. Magnetic resonance (MR) imaging of the brain revealed classic signs of intracranial hypotension, and an additional spinal MR confirmed a lumbar transdural herniated disc as the cause. The patient was treated with a partial hemilaminectomy and discectomy. We were able to find the source of cerebrospinal fluid leak, and packed it with epidural glue and gelfoam. Postoperatively, the patient¡¯s headache and log radiating pain resolved and there was no neurological deficit. Thus, in this case, lumbar disc herniation may have been a cause of spontaneous intracranial hypotension.
KEYWORD
Spontaneous intracranial hypotension, Orthostatic headache, Lumbar disc herniation
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