A notable improvement in spontaneous intracranial hypotension (SIH) after delivery in a pregnant woman: A case report

Hamid Reihani; Fariba Zarei; Amirhossein Soltani; Mahdi Saeedi-Moghadam

doi:10.1016/j.radcr.2022.06.103

A notable improvement in spontaneous intracranial hypotension (SIH) after delivery in a pregnant woman: A case report

Radiol Case Rep. 2022 Aug 5;17(10):3763-3766. doi: 10.1016/j.radcr.2022.06.103. eCollection 2022 Oct.

Authors

Hamid Reihani¹, Fariba Zarei^{2

3}, Amirhossein Soltani², Mahdi Saeedi-Moghadam³

Affiliations

¹ Student Research Committee, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
² Department of Radiology, Shiraz University of Medical Sciences, Shiraz, Iran.
³ Medical Imaging Research Center, Shiraz University of Medical Sciences Shiraz, Iran.

Abstract

Spontaneous intracranial hypotension (SIH) is a rare condition where the CSF pressure is lower than expected. In this report, we introduce a case of SIH in a 32-year-old pregnant woman who came to our emergency department at 32 weeks' gestation with a postural and bilateral headache. After MRI confirmation, conservative treatment was started for her, and a cesarean section was scheduled. After the operation, CT-myelography and CT-cisternography were performed for the patient to find the source of the CSF leak, which was located in the C3-C5 level. Still, due to the dangerous nature of the operation, the patient continued supportive treatment and had a significant improvement in his next MRI without any invasive procedure.

Keywords: Intracranial hypotension; Orthostatic headache; Pregnancy; Pregnant women.

Publication types

Case Reports