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[Post-traumatic hypoliquorrhea syndrome].

U N Dürst1, A Pachmann, M V Spiegel

  • 1Medizinische Klinik, Spital Uster.

Schweizerische Medizinische Wochenschrift
|October 8, 1988
PubMed
Summary

A rare case of traumatic low pressure headache syndrome, possibly due to cerebrospinal fluid leakage, was described after a fall. Symptoms include positional headaches, nausea, and dizziness, managed with rest and fluids.

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Area of Science:

  • Neurology
  • Neurosurgery

Background:

  • Traumatic low pressure headache syndrome is a rare condition.
  • It is often associated with cerebrospinal fluid (CSF) leakage.

Observation:

  • A case of this syndrome occurred after a fall on the buttocks.
  • Headaches worsened when upright and improved when lying down.
  • Associated symptoms included nausea, vomiting, dizziness, photophobia, and vertigo.

Findings:

  • Lumbar puncture revealed absent CSF pressure and air aspiration.
  • Intracranial air was visible on roentgenograms.
  • CT scans showed small ventricles and tight basal cisterns.

Implications:

  • This case highlights an unusual cause of low pressure headaches.
  • Understanding CSF dynamics is crucial for diagnosis and management.
  • Bed rest and fluid substitution are key management strategies.

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