Persistent postural daily headaches

Samantha Lang1, Stephen Wong1, Richard Cutfield2

  • 1Medical Registrar, General Medicine Department, Waitakere Hospital, Waitemata District Health Board, Auckland.

Fifty-five year-old female presented with five weeks of progressively worsening headaches precipitated by a sudden neck movement. The headaches were exacerbated by sitting up or standing. There was associated diplopia and facial pain. Investigations were consistent with intracranial hypotension with a possible spontaneous spinal cerebrospinal fluid leak. Symptoms improved dramatically after an epidural blood patch.

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