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Intracranial hypertension and intracranial hypotension causing headache in the same patient
Ragesh Panikkath1, John Welker1, Robert Johnston1
1Departments of Internal Medicine (Panikkath, Lado-Abeal) and Anesthesiology (Welker, Johnston), Texas Tech University Health Sciences Center, Lubbock, Texas.
Abstract:
Intracranial hypertension and intracranial hypotension are on the opposite end of the intracranial pressure spectra. It is extremely uncommon for both to cause headache in the same patient within a span of several days. This report describes a young man with intracranial hypertension who developed a severe excruciating headache due to intracranial hypotension after a diagnostic lumbar puncture. It is paradoxical that lumbar puncture, which is supposed to be a treatment option for patients with idiopathic intracranial hypertension, leads to headache due to intracranial hypotension.
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