KMID : 1037820170060020033
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Journal of Pain and Autonomic Disorders 2017 Volume.6 No. 2 p.33 ~ p.36
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Spontaneous Orthostatic Headache with Normal Cerebrospinal Fluid Pressure
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Kwon Eun-Jin
Choi Ji-Hyun Lee Chan-Young Chun Min-Young Park Kee-Duk Park Hyung-Jun
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Abstract
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Orthostatic headache is the major manifestation of low cerebrospinal fluid (CSF) pressure due to CSF leak. A 34-year-old man came to our clinic due to orthostatic headache. CSF opening pressure was normal (160 mmCSF). However, Brain magnetic resonance imaging showed diffuse pachymeningeal enhancement and cisternography revealed CSF leakage at the level of cervicothoracic junction. After the epidural blood patching, headache subsided. The present case demonstrated that normal CSF pressure should not discourage clinicians from investigating a source of CSF leak.
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KEYWORD
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Orthostatic headache, Cerebrospinal fluid leak, Epidural blood patch
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