Davis James, Yanny Irini, Chatu Sukhdev, Dubois Patrick, Hayee Bu, Moran Nick
Department of Gastroenterology, Kings College Hospital, Denmark Hill, London SE5 9RS, UK.
J Med Case Rep. 2014 Dec 21;8:456. doi: 10.1186/1752-1947-8-456.
A spinal cerebrospinal fluid leak is the most common cause of spontaneous intracranial hypotension which is an uncommon but increasingly recognized cause of headache. This article describes the first reported case of pilates being associated with a spontaneous spinal cerebrospinal fluid leak whilst also highlighting the key information about spontaneous cerebrospinal fluid leaks that will be useful to the general clinician.
We present the case of a 42-year-old Caucasian woman who developed a low-pressure headache following a pilates class. A computed tomography scan of her head demonstrated bilateral chronic subdural hematomas and cerebellar descent. Magnetic resonance imaging of her spine revealed the presence of extensive extradural cerebrospinal fluid collections. She responded to conservative management and repeat neuroimaging after symptom resolution revealed no abnormalities.
Awareness and early recognition of spontaneous intracranial hypotension is important to prevent unnecessary investigations and delay in treatment. Pilates may be a risk factor for the development of a spontaneous cerebrospinal fluid leak.
脊髓脑脊液漏是自发性颅内低压最常见的原因，自发性颅内低压虽不常见，但越来越被认为是头痛的一个病因。本文描述了首例被报道的普拉提运动与自发性脊髓脑脊液漏相关的病例，同时强调了关于自发性脑脊液漏的关键信息，这些信息对普通临床医生会很有用。
我们报告一例42岁的白种女性病例，该女性在参加一节普拉提课程后出现了低压性头痛。她的头部计算机断层扫描显示双侧慢性硬膜下血肿和小脑下垂。她的脊柱磁共振成像显示存在广泛的硬膜外脑脊液聚集。她对保守治疗有反应，症状缓解后重复进行神经影像学检查未发现异常。
认识并早期识别自发性颅内低压对于避免不必要的检查和治疗延误很重要。普拉提运动可能是自发性脑脊液漏发生的一个危险因素。
