Spontaneous Low Cerebrospinal Fluid Pressure Headache Initially Misdiagnosed as a Tension-type Headache

• Nishisako Hisashi

  Division of General Internal Medicine, Department of Internal Medicine, St. Marianna University School of Medicine

• Kunishima Hiroyuki

  Division of General Internal Medicine, Department of Internal Medicine, St. Marianna University School of Medicine

• Shimizu Gohji

  Division of General Internal Medicine, Department of Internal Medicine, St. Marianna University School of Medicine

• Naitou Yoshiyuki

  Division of General Internal Medicine, Department of Internal Medicine, St. Marianna University School of Medicine

• Teruya Yoko

  Division of General Internal Medicine, Department of Internal Medicine, St. Marianna University School of Medicine

• Yokokawa Masatoshi

  Division of General Internal Medicine, Department of Internal Medicine, St. Marianna University School of Medicine

• Masui Kentaro

  Division of General Internal Medicine, Department of Internal Medicine, St. Marianna University School of Medicine

• Hirose Masanori

  Division of General Internal Medicine, Department of Internal Medicine, St. Marianna University School of Medicine

• Sakai Tsubasa

  Division of General Internal Medicine, Department of Internal Medicine, St. Marianna University School of Medicine

• Yamasaki Yukitaka

  Division of General Internal Medicine, Department of Internal Medicine, St. Marianna University School of Medicine

• Tsuchida Tomoya

  Division of General Internal Medicine, Department of Internal Medicine, St. Marianna University School of Medicine

• Nemoto Takaaki

  Division of General Internal Medicine, Department of Internal Medicine, St. Marianna University School of Medicine

• Torikai Keito

  Division of General Internal Medicine, Department of Internal Medicine, St. Marianna University School of Medicine

• Nakagawa Teisuke

  Division of General Internal Medicine, Department of Internal Medicine, St. Marianna University School of Medicine

• Matsuda Takahide

  Division of General Internal Medicine, Department of Internal Medicine, St. Marianna University School of Medicine

抄録

We report the case of a 34-year-old man who was initially diagnosed with a tension-type headache after complaining of a headache and nausea. His headache worsened in severity and it was exacerbated on standing in the upright position. The patient was admitted to the hospital on suspicion of spontaneous low cerebrospinal fluid (CSF) pressure headache. Gadolinium-enhanced brain magnetic resonance imaging (MRI) revealed diffuse pachymeningeal enhancement, brain sagging, cerebellar tonsillar herniation, brainstem descent and a subdural hematoma. Successful emergency surgery was undertaken.<br>Spontaneous low CSF pressure headache syndrome is characterized by orthostatic headache, and if such a headache worsens, clinicians should consider a subdural hematoma, a life-threatening complication of this unusual disorder.

収録刊行物

• Ｇｅｎｅｒａｌ　Ｍｅｄｉｃｉｎｅ

  Ｇｅｎｅｒａｌ　Ｍｅｄｉｃｉｎｅ 15 (1), 43-46, 2014

  一般社団法人 日本プライマリ・ケア連合学会

キーワード

• spontaneous low cerebrospinal fluid pressure headache
• chronic headache
• orthostatic headache
• gadolinium-enhanced brain magnetic resonance imaging
• subdural hematoma

詳細情報

• CRID: 1390001205190365568
• NII論文ID: 130004543700
• DOI: 10.14442/general.15.43
• ISSN: 18836011
• ISSN: 13460072
• Web Site: https://search.jamas.or.jp/link/ui/2015132890
• 本文言語コード: en
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可