Jurcau Maria Carolina, Jurcau Anamaria, Hogea Vlad Octavian, Diaconu Razvan Gabriel
Faculty of Medicine and Pharmacy, University of Oradea, 410087 Oradea, Romania.
Department of Psycho-Neurosciences and Rehabilitation, University of Oradea, 410087 Oradea, Romania.
Diagnostics (Basel). 2024 Apr 24;14(9):881. doi: 10.3390/diagnostics14090881.
Spontaneous intracranial hypotension (SIH) is an important cause of daily headaches that occur in young and middle-aged, active persons and is often misdiagnosed, leading to prolonged inactivity and rather high healthcare expenditures. Its diagnosis requires a high degree of clinical suspicion and careful interpretation of imaging studies. We present a case of SIH, which was successfully treated but which posed serious diagnostic challenges, ranging from cerebro-vascular disease and meningitis to granulomatous diseases, and for whom every therapeutic attempt just worsened the patient's condition until we finally reached the correct diagnosis. To raise awareness of this condition, we also present an updated overview of the clinical picture, evaluation, and treatment options for SIH.
自发性颅内低压（SIH）是发生在中青年、活动人群中日常头痛的重要原因，且常被误诊，导致长期不活动和相当高的医疗费用。其诊断需要高度的临床怀疑以及对影像学检查的仔细解读。我们报告一例SIH病例，该病例成功治愈，但带来了严重的诊断挑战，从脑血管疾病、脑膜炎到肉芽肿性疾病，在最终做出正确诊断之前，每一次治疗尝试都使患者病情恶化。为提高对这种疾病的认识，我们还介绍了SIH的临床表现、评估和治疗选择的最新概述。
