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Journal of Education, Health and Sport

How to find and overcome reason of the pain - an overview of the possible approaches in intracranial hypotension treatment
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  • How to find and overcome reason of the pain - an overview of the possible approaches in intracranial hypotension treatment
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How to find and overcome reason of the pain - an overview of the possible approaches in intracranial hypotension treatment

Authors

  • Izabela Hądzlik 4. Military Clinical Hospital SP ZOZ, Weigla 5, 53-114 Wroclaw, Poland https://orcid.org/0009-0001-5580-1716
  • Jan Piotrowski Jan Mikulicz-Radecki University Clinical Hospital, Borowska 213, 50-556 Wrocław, Poland, https://orcid.org/0000-0001-9318-5419
  • Julia Biały-Karbowniczek 4. Military Clinical Hospital SP ZOZ, Weigla 5, 53-114 Wrocław, Poland https://orcid.org/0009-0005-1307-8557
  • Katarzyna Słychan 4. Military Clinical Hospital SP ZOZ, Weigla 5, 53-114 Wrocław, Poland https://orcid.org/0000-0003-3772-737X
  • Klaudia Bulska Jan Mikulicz-Radecki University Clinical Hospital, Borowska 213, 50-556 Wrocław, Poland, https://orcid.org/0009-0001-7164-428X
  • Patrycja Brzozowska Jan Mikulicz-Radecki University Clinical Hospital, Borowska 213, 50-556 Wrocław, Poland https://orcid.org/0000-0002-6630-4539
  • Andrzej Piela University Clinical Hospital named after Fryderyk Chopin in Rzeszów, st. Fryderyk Szopen 2, 35-055 Rzeszów, Poland https://orcid.org/0009-0004-6688-917X
  • Bianka Nowińska 4. Military Clinical Hospital SP ZOZ, Weigla 5, 53-114 Wrocław, Poland https://orcid.org/0000-0003-2335-3207
  • Blanka Łuczak 4. Military Clinical Hospital SP ZOZ, Weigla 5, 53-114 Wrocław, Poland https://orcid.org/0009-0008-7796-9211
  • Konrad Sławek Jan Mikulicz-Radecki University Clinical Hospital, Borowska 213, 50-556 Wrocław, Poland https://orcid.org/0009-0001-5457-7978

DOI:

https://doi.org/10.12775/JEHS.2024.73.51728

Keywords

spontaneous intracranial hypotension, orthostatic headache, epidural blood patching, CSF leakage, surgery

Abstract

Intracranial hypotension syndrome develops following cerebrospinal fluid (CSF, cerebrospinal fluid) leakage as a result of iatrogenic or spontaneous interruption of the meninges. The main clinical manifestation of intracranial hypotension, whether spontaneous (SIH, spontaneous intracranial hypotension) or iatrogenic, is a chronic headache of the orthostatic type, which may be accompanied by symptoms of neurological deficits. Despite the usually benign course, subdural haematomas developing following SIH or cerebral venous sinus thrombosis can cause deterioration of the patient's condition and may even be life-threatening. An important role in the diagnosis of SIH is played by imaging studies (mainly magnetic resonance imaging) of the brain and spinal canal, sometimes supplemented by CSF pressure testing. If conservative treatment fails, consideration should be given to surgical management and epidural blood patch. SIH is dangerous, so it is important to know how to diagnose and treat it.

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Published

2024-06-12

How to Cite

1.
HĄDZLIK, Izabela, PIOTROWSKI, Jan, BIAŁY-KARBOWNICZEK, Julia, SŁYCHAN, Katarzyna, BULSKA, Klaudia, BRZOZOWSKA, Patrycja, PIELA, Andrzej, NOWIŃSKA, Bianka, ŁUCZAK, Blanka and SŁAWEK, Konrad. How to find and overcome reason of the pain - an overview of the possible approaches in intracranial hypotension treatment. Journal of Education, Health and Sport. Online. 12 June 2024. Vol. 73, p. 51728. [Accessed 17 June 2025]. DOI 10.12775/JEHS.2024.73.51728.
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Vol. 73 (2024)

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Medical Sciences

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Copyright (c) 2024 Izabela Hądzlik, Jan Piotrowski, Julia Biały-Karbowniczek, Katarzyna Słychan, Klaudia Bulska, Patrycja Brzozowska, Andrzej Piela, Bianka Nowińska, Blanka Łuczak, Konrad Sławek

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