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Atypical spontaneous intracranial hypotension with a head-shaking headache
Hung Youl Seok1, Mi-Yeon Eun, Jeong-Yoon Choi
1Department of Neurology, Korea University College of Medicine, Ansan-city, Gyeonggi-do, Korea.
Abstract:
Spontaneous intracranial hypotension (SIH) is typically characterized by orthostatic headache; however, various atypical manifestations of SIH have been reported recently. We report here the case of a 46-year-old man with headache secondary to SIH, which was nonorthostatic, triggered only when the patient shook his head. We suggest that SIH should be suspected in patients with headache induced by head-shaking, even without orthostatic features, especially when the headache is accompanied by other symptoms commonly associated with SIH.
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