Paradoxical postural headaches in cerebrospinal fluid leaks

Bahram Mokri; A. J. Aksamit; J. L.D. Atkinson

doi:10.1111/j.1468-2982.2004.00763.x

Paradoxical postural headaches in cerebrospinal fluid leaks

Bahram Mokri, A. J. Aksamit, J. L.D. Atkinson

Research output: Contribution to journal › Article › peer-review

38 Scopus citations

Abstract

Two patients with cerebrospinal fluid (CSF) leak, one at the level of fourth thoracic spine and another with undetermined level of leak, presented with paradoxical postural headaches in that the headaches were present when in a horizontal position and resolved if the patients were upright. One patient improved spontaneously and the other responded to a targeted epidural blood patch. Paradoxical postural headache is yet another headache type that can be associated with CSF leak and CSF volume depletion. Its mechanism is uncertain, but it could be related to congestion and dilatation of cerebral venous sinuses and large veins.

Original language	English (US)
Pages (from-to)	883-887
Number of pages	5
Journal	Cephalalgia
Volume	24
Issue number	10
DOIs	https://doi.org/10.1111/j.1468-2982.2004.00763.x
State	Published - Oct 2004

Keywords

Chiari malformation
MR myelography
Pachymeningeal enhancement
Postural headache
Spontaneous CSF leak

ASJC Scopus subject areas

Clinical Neurology

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10.1111/j.1468-2982.2004.00763.x

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abstract = "Two patients with cerebrospinal fluid (CSF) leak, one at the level of fourth thoracic spine and another with undetermined level of leak, presented with paradoxical postural headaches in that the headaches were present when in a horizontal position and resolved if the patients were upright. One patient improved spontaneously and the other responded to a targeted epidural blood patch. Paradoxical postural headache is yet another headache type that can be associated with CSF leak and CSF volume depletion. Its mechanism is uncertain, but it could be related to congestion and dilatation of cerebral venous sinuses and large veins.",

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AU - Aksamit, A. J.

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AB - Two patients with cerebrospinal fluid (CSF) leak, one at the level of fourth thoracic spine and another with undetermined level of leak, presented with paradoxical postural headaches in that the headaches were present when in a horizontal position and resolved if the patients were upright. One patient improved spontaneously and the other responded to a targeted epidural blood patch. Paradoxical postural headache is yet another headache type that can be associated with CSF leak and CSF volume depletion. Its mechanism is uncertain, but it could be related to congestion and dilatation of cerebral venous sinuses and large veins.

KW - Chiari malformation

KW - MR myelography

KW - Pachymeningeal enhancement

KW - Postural headache

KW - Spontaneous CSF leak

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Paradoxical postural headaches in cerebrospinal fluid leaks

Abstract

Keywords

ASJC Scopus subject areas

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