id author title date pages extension mime words sentences flesch summary cache txt work_vevci3mdq5fi3lajzvu7le2prm Thashi Chang Spontaneous intracranial hypotension presenting as thunderclap headache: a case report 2015.0 3 .pdf application/pdf 1987 198 46 Spontaneous intracranial hypotension presenting as thunderclap headache: a case report Background: Spontaneous intracranial hypotension is a rare but treatable cause of a disabling headache syndrome. It is characterized by positional orthostatic headache, pachymeningeal enhancement and low cerebrospinal fluid enhancement and normal magnetic resonance angiography while lumbar puncture revealed a cerebrospinal fluid increased intake of oral coffee which led to a gradual relief of headaches in the upright posture. Conclusions: Spontaneous intracranial hypotension can rarely present as thunderclap headache. Keywords: Thunderclap headache, Spontaneous intracranial hypotension, Meningeal enhancement Orthostatic headache, low cerebrospinal fluid (CSF) pressure, and diffuse meningeal enhancement on brain magnetic resonance imaging (MRI) are the major features of of spontaneous intracranial hypotension (SIH) characterized by positional orthostatic headache and pachymeningeal enhancement on neuroimaging that led to the pressure (<60 mmH20) in a patient presenting with a postural orthostatic headache that is not better accounted by Spontaneous low pressure, low CSF volume headaches: ./cache/work_vevci3mdq5fi3lajzvu7le2prm.pdf ./txt/work_vevci3mdq5fi3lajzvu7le2prm.txt