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Journal of Korean Neurosurgical Society > Volume 47(1); 2010 > Article
Journal of Korean Neurosurgical Society 2010;47(1): 48-50.
doi: https://doi.org/10.3340/jkns.2010.47.1.48
Spontaneous Intracranial Hypotension Secondary to Lumbar Disc Herniation.
Kyoung Tae Kim, Young Baeg Kim
Department of Neurosurgery, College of Medicine, Chung-Ang University, Seoul, Korea. ybkim1218@cau.ac.kr
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.
Key Words: Spontaneous intracranial hypotension; Orthostatic headache; Lumbar disc herniation
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