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Brain Sci. 2017, 7(1), 3; doi:10.3390/brainsci7010003

An Unusual Case of Post-Traumatic Headache Complicated by Intracranial Hypotension

Department of Neurology, Georgetown University Hospital, Washington, DC 20007, USA
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Author to whom correspondence should be addressed.
Academic Editor: Stephanie Nahas
Received: 12 October 2016 / Revised: 9 December 2016 / Accepted: 19 December 2016 / Published: 29 December 2016
(This article belongs to the Special Issue The Pathogenesis and Treatment of Headache Disorders)
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Abstract

We present a case of post-traumatic headache complicated by intracranial hypotension resulting in an acquired Chiari malformation and myelopathy with syringomyelia. This constellation of findings suggest a possible series of events that started with a traumatic cerebral spinal fluid (CSF) leak, followed by descent of the cerebellar tonsils and disruption of CSF circulation that caused spinal cord swelling and syrinx. This unusual presentation of post-traumatic headache highlights the varying presentations and the potential sequelae of intracranial hypotension. In addition, the delayed onset of upper motor neuron symptoms along with initially normal head computerized tomography scan (CT) findings, beg the question of whether or not a post-traumatic headache warrants earlier magnetic resonance imaging (MRI). View Full-Text
Keywords: post-traumatic headache; intracranial hypotension; syringomyelia; cerebral spinal fluid leak post-traumatic headache; intracranial hypotension; syringomyelia; cerebral spinal fluid leak
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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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Siavoshi, S.; Dougherty, C.; Ailani, J.; Yadwadkar, K.; Berkowitz, F. An Unusual Case of Post-Traumatic Headache Complicated by Intracranial Hypotension. Brain Sci. 2017, 7, 3.

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