Treatment of orthostatic headache without intracranial hypotension: A case report

被引:2
|
作者
Gil-Gouveia, Raquel [1 ]
机构
[1] Hosp Luz, Headache Ctr, P-1500650 Lisbon, Portugal
关键词
Orthostatic headache; intracranial hypotension; vitamin A;
D O I
10.1177/0333102413482192
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Introduction: Orthostatic headache is very suggestive of intracranial hypotension. It has a good prognosis as it usually responds to conservative treatment or epidural blood patches. Case report: A 36-year-old female presented with severe and prolonged orthostatic headache starting after a seizure. No stigma of intracranial hypotension was detected on brain MRI, and intracranial pressure was within normal range. No imaging evidence of a fistula was found. She was refractory to symptomatic treatment including five epidural blood patches. Progressive improvement occurred simultaneously to the introduction of vitamin A supplementation. Discussion: A series of six similar patients is discussed, in which five patients remained severely symptomatic and workdisabled at an average follow-up of four years. It is proposed that the pathophysiological mechanism producing orthostatic headache might not be dependent on intracranial hypotension and could respond to vitamin A.
引用
收藏
页码:948 / 950
页数:3
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