Headache in Patients with Intracranial Pressure Changes: Intracranial Hypotension Headache
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A 67-year-old man noted the acute onset of an exquisitely orthostatic, occipital pressure-type headache associated with nausea and auditory echoing. His symptoms resolved spontaneously over a 2-week period. Two months later, his wife noted the insidious onset of marked behavioral changes that started with poor decision-making and progressed over the next month to include a deterioration in his driving skills and behaviors such as leaving doors open and spilling food and beverages on himself without noticing. He was occasionally mute and hypersomnolent. The initial diagnosis was dementia due to Alzheimer’s disease.
KeywordsIntracranial Hypotension Dural Puncture Epidural Blood Patching Spontaneous Intracranial Hypotension Cerebral Venous Sinus Thrombosis
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