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Updated: May 30, 2026
10:39
3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache
Published on: June 2, 2014
An interesting case of headache.
Vasant R Dangra1, Yogesh B Sharma, Nadir E Bharucha
1Department of Neurology, Bombay Hospital Institute of Medical Sciences, 12 Marine Lines, Mumbai, India.
Annals of Indian Academy of Neurology
|August 3, 2011
Summary
Spontaneous intracranial hypotension (SIH) can lead to serious complications like venous sinus thrombosis and subdural hematoma. Early recognition of headache pattern changes in SIH is crucial for timely intervention.
Area of Science:
- Neurology
- Neurosurgery
Background:
- Spontaneous intracranial hypotension (SIH) is characterized by low cerebrospinal fluid pressure.
- Headaches are a common symptom, often positional and worsening with upright posture.
Observation:
- A 35-year-old businessman with a history of migraine with aura presented with neck pain, progressing to severe generalized headache.
- Initial investigations revealed venous sinus thrombosis and subdural collections, treated with anticoagulation.
- Subsequent MRI showed a left subdural hematoma requiring surgical evacuation.
Findings:
- Re-evaluation of the initial MRI revealed characteristic features of spontaneous intracranial hypotension (SIH).
- The patient's presentation mimicked other conditions, delaying the SIH diagnosis.
- Complications, including subdural hematoma and venous sinus thrombosis, were identified.
Implications:
- This case highlights the diverse and potentially severe complications of unrecognized SIH.
- Clinicians must consider SIH in patients with positional headaches, especially with atypical presentations.
- Prompt recognition and management of SIH complications are vital to prevent neurological deficits.
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