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Spontaneous intracranial hypotension: an easily treated headache

Mohamed Asif Chinnaratha, Ronald A Criddle and Paul J Graziotti
Med J Aust 2007; 187 (1): . || doi: 10.5694/j.1326-5377.2007.tb01129.x
Published online: 2 July 2007

To the Editor: We report a patient with spontaneous intracranial hypotension (SIH), which is now an increasingly recognised syndrome. Orthostatic headache with typical findings on magnetic resonance imaging (MRI) are the keys to diagnosis. When correctly diagnosed, SIH management is easy and highly effective in most cases.


  • St John of God Hospital, Perth, WA.


Correspondence: drmohamedasif@hotmail.com

  • 1. Blank SC, Shakir RA, Bindoff LA, Bradley N. Spontaneous intracranial hypotension: clinical and magnetic resonance imaging characteristics. Clin Neurol Neurosurg 1997; 99: 199-204.
  • 2. Schievink WI, Reimer R, Folger WN. Surgical treatment of spontaneous intracranial hypotension associated with a spinal arachnoid diverticulum. Case report. J Neurosurg 1994; 80: 736-739.
  • 3. Benzon HT, Nemickas R, Molloy RE, et al. Lumbar and thoracic epidural blood injections to treat spontaneous intracranial hypotension. Anesthesiology 1996; 85: 920-922.
  • 4. Schievink WI, Morreale VM, Atkinson JLD, et al. Surgical treatment of spontaneous spinal cerebrospinal fluid leaks. J Neurosurg 1998; 88: 243-246.

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