Frequency of spontaneous intracranial hypotension in the emergency department
Open Access
- 10 December 2007
- journal article
- review article
- Published by Springer Science and Business Media LLC in The Journal of Headache and Pain
- Vol. 8 (6), 325-328
- https://doi.org/10.1007/s10194-007-0421-8
Abstract
Spontaneous intracranial hypotension is considered a rare disorder. We conducted a study on the frequency of spontaneous intracranial hypotension in the emergency department (ED). We identified patients with spontaneous intracranial hypotension evaluated in the ED of a large urban hospital between 1 January 2003 and 31 December 2006. For comparison, we also identified all patients with spontaneous subarachnoid haemorrhage (SAH). Eleven patients with previously undiagnosed spontaneous intracranial hypotension were evaluated in the ED during the four-year time period. All patients presented with positional headaches and the duration of symptoms varied from one day to three months. None of the patients were correctly diagnosed with spontaneous intracranial hypotension in the ED. During the same time period, 23 patients with aneurysmal SAH were evaluated. Spontaneous intracranial hypotension is more common than previously appreciated and the diagnosis in the ED remains problematic.Keywords
This publication has 10 references indexed in Scilit:
- Headache in United States Emergency DepartmentsCephalalgia, 2006
- Spontaneous Spinal Cerebrospinal Fluid Leaks and Intracranial HypotensionJama-Journal Of The American Medical Association, 2006
- Headache management--Are we doing enough? An observational study of patients presenting with headache to the emergency departmentEmergency Medicine Journal, 2004
- Misdiagnosis of Spontaneous Intracranial HypotensionArchives of Neurology, 2003
- Headache in the Emergency DepartmentHeadache: The Journal of Head and Face Pain, 2001
- Surgical treatment of spontaneous spinal cerebrospinal fluid leaksJournal of Neurosurgery, 1998
- Stroke incidence, prevalence, and survival: secular trends in Rochester, Minnesota, through 1989.1996
- The Enigma of the Decline in Stroke Deaths in the United StatesStroke, 1996
- Evaluation and Treatment of Headache Patients in the Emergency Department: A Survey.Headache: The Journal of Head and Face Pain, 1994
- Non-traumatic headache in the emergency departmentAnnals of Emergency Medicine, 1980