PDF(Pubmed)
Abstract：
Spontaneous intracranial hypotension (SIH) is an important cause of daily headaches that occur in young and middle-aged, active persons and is often misdiagnosed, leading to prolonged inactivity and rather high healthcare expenditures. Its diagnosis requires a high degree of clinical suspicion and careful interpretation of imaging studies. We present a case of SIH, which was successfully treated but which posed serious diagnostic challenges, ranging from cerebro-vascular disease and meningitis to granulomatous diseases, and for whom every therapeutic attempt just worsened the patient\'s condition until we finally reached the correct diagnosis. To raise awareness of this condition, we also present an updated overview of the clinical picture, evaluation, and treatment options for SIH.
摘要：
自发性低颅压(SIH)是引起中青年日常头痛的重要原因,活跃的人，经常被误诊，导致长期不活动和相当高的医疗支出。其诊断需要高度的临床怀疑和对影像学检查的仔细解释。我们提出了一个SIH的案例，成功治疗，但带来了严重的诊断挑战，从脑血管病和脑膜炎到肉芽肿病，对他来说，每一次治疗尝试都会使病人的病情恶化，直到我们最终得到正确的诊断。为了提高对这种情况的认识，我们还提供了最新的临床概况，评估，和SIH的治疗选择。
