McGrath Emer, Monaghan Thomas S, Alexander Michael, Hennessy Michal J
Department of Neurology, University College Hospital, Galway, Ireland.
BMJ Case Rep. 2010 Oct 28;2010:bcr0520103040. doi: 10.1136/bcr.05.2010.3040.
Spontaneous intracranial hypotension (SIH) is an uncommon condition characterised by postural headache secondary to low cerebrospinal fluid pressure. Here we present a case of recurrence of SIH in early pregnancy in a 26-year-old woman. She first presented at the age of 21 years at 15 weeks' gestation with a history of headache, nausea, vomiting, neck stiffness and photophobia. Findings from a MRI brain scan led to a diagnosis of SIH. She was treated with autologous epidural blood patching and remained asymptomatic until her second pregnancy 5 years later, when she re-presented at 16 weeks' gestation with similar symptoms. She was again diagnosed with SIH and required a repeat treatment of autologous epidural blood patching. She subsequently remained symptom free and delivered a healthy boy at term.
自发性颅内低压（SIH）是一种罕见的疾病，其特征为继发于脑脊液压力降低的体位性头痛。在此，我们报告一例26岁女性在妊娠早期复发性SIH的病例。她首次发病于21岁，妊娠15周时，有头痛、恶心、呕吐、颈部僵硬和畏光病史。脑部磁共振成像扫描结果导致SIH的诊断。她接受了自体硬膜外血贴治疗，直至5年后第二次怀孕前一直无症状，此次怀孕16周时再次出现类似症状。她再次被诊断为SIH，并需要重复进行自体硬膜外血贴治疗。随后她一直无症状，并足月产下一名健康男婴。
