Intracranial hypotension following motor vehicle accident: An overlooked cause of post-traumatic head and neck pain?

Marc A. Huntoon, James C. Watson

Research output: Contribution to journalArticle

9 Scopus citations

Abstract

Motor vehicle accidents result in many patients with chronic head and neck pain, some of which meet the criteria for a "whiplash syndrome." The cervical zygapophysial joint synovium, muscular, and ligamentous strains and other anatomical sites are often implicated in the pathophysiology of these cases. Some patients have a characteristic constellation of vague neurological symptoms, often including headache, posterior neck discomfort, dizziness, nausea, and sometimes visual changes. Recently presented research has noted that some patients who have a whiplash-associated disorder have imaging findings consistent with a low-pressure cerebrospinal fluid leak. Some of these patients respond favorably to high-volume epidural blood patch. The following case presentation focuses on the differential diagnosis of a post-traumatic headache syndrome, specific imaging findings, and treatment strategies.

Original languageEnglish (US)
Pages (from-to)47-52
Number of pages6
JournalPain Practice
Volume7
Issue number1
DOIs
StatePublished - Mar 1 2007

Keywords

  • Cerebrospinal fluid leak
  • Cervical zygapophysial joint pain
  • Epidural blood patch
  • Headache
  • Whiplash

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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