Intracranial hypotension and PRES: Case report

Silvia Pugliese; V. Finocchi; M. L. Borgia; C. Nania; B. Della Vella; A. Pierallini; A. Bozzao

doi:10.1007/s10194-010-0226-z

Intracranial hypotension and PRES: Case report

Silvia Pugliese, V. Finocchi, M. L. Borgia, C. Nania, B. Della Vella, A. Pierallini, A. Bozzao

Istituto San Raffaele Pisana

Research output: Contribution to journal › Article

Abstract

We report a case of a woman presenting, 7 days after epidural analgesia for a caesarean section, to the emergency room for a worsening of the headache and tonico-clonic seizures. MRI showed alterations suggestive of the presence of intracranial hypotension (IH) as well as evidence of posterior reversible encephalopathy syndrome (PRES). She was treated with a blood patch which leads to the prompt regression of the clinical symptoms and follow-up MRI, after 15 days, showed complete resolution of radiological alterations. The possible pathogenetic relationship between IH, secondary to the inadvertent dural puncture, and PRES is discussed. We suggest that venous stagnation and hydrostatic edema, secondary to intracranial hypotension, probably played a crucial role in the pathogenesis of PRES.

Original language	English
Pages (from-to)	437-440
Number of pages	4
Journal	Journal of Headache and Pain
Volume	11
Issue number	5
DOIs	https://doi.org/10.1007/s10194-010-0226-z
Publication status	Published - Oct 2010

Keywords

Epidural analgesia
Headache
Intracranial hypotension
MRI
PRES

ASJC Scopus subject areas

Anesthesiology and Pain Medicine
Clinical Neurology

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Pugliese, S., Finocchi, V., Borgia, M. L., Nania, C., Della Vella, B., Pierallini, A., & Bozzao, A. (2010). Intracranial hypotension and PRES: Case report. Journal of Headache and Pain, 11(5), 437-440. https://doi.org/10.1007/s10194-010-0226-z

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