Reversible cerebral vasoconstriction in spontaneous intracranial hypotension

Headache. 2007 Feb;47(2):284-7. doi: 10.1111/j.1526-4610.2006.00696.x.

Abstract

Myelography showed an opening pressure of 0 cm H2O and multiple thoracic meningeal diverticula in a 52-year-old woman suffering from orthostatic headaches of instantaneous onset. MR-angiography showed severe segmental arterial stenosis of the anterior and posterior circulation, which resolved over a 4-day period following an epidural blood patch. Spontaneous intracranial hypotension should be considered in the differential diagnosis of reversible cerebral vasoconstriction.

Publication types

  • Case Reports
  • Letter

MeSH terms

  • Blood Patch, Epidural
  • Brain / blood supply*
  • Cerebral Arteries / pathology
  • Constriction, Pathologic / complications
  • Constriction, Pathologic / diagnosis
  • Constriction, Pathologic / pathology
  • Diagnosis, Differential
  • Female
  • Headache / diagnosis*
  • Headache / etiology
  • Headache Disorders, Primary / diagnosis
  • Humans
  • Intracranial Hypotension / complications
  • Intracranial Hypotension / physiopathology*
  • Magnetic Resonance Angiography
  • Middle Aged
  • Vasoconstriction / physiology*