Syndrome of spontaneous cerebrospinal fluid hypovolemia (SCH) is a rare cause of new onset headache. We report six cases of SCH presenting with new onset headache. All six cases were females. Acute onset orthostatic headache and neck pain were the chief characteristics of SCH in our cases. The MRI brain showed pachymeningeal gadolinium enhancement in all patients. Spinal extradural CSF collecti...

Case presentation:1 atient was a 33-year-old woman underwent her first time cesarean section combined with spinal epidural anesthesia 5 days before and discharged the day after with good condition. She got severe headache with pain score about 8-9, 2 days after discharge from hospital. Her headache was severe, bilateral, pulsatile and almost likely sudden onset accompanied with nausea that mild...

Introduction
 Post-dural punction headache (PDH) is defined as an orthostatic that develops within the first few days after performing a spinal tap and it related to extravasation of cerebrospinal fluid (CSF) into epidural space, resulting in hypovolemia CSF hypotension. The risk factors for PDH are not yet fully understood. 
 Objective
 To evaluate spontaneously reported accordi...

Postdural puncture headache and cerebral subdural hematoma are among complications of spinal anesthesia with some common characteristics; however misdiagnosis of these two could result in a catastrophic outcome or prevent unwanted results by urgent interventions. With the purpose of increasing awareness of such complications and a speedy diagnosis, we report two cases of postspinal anesthesia h...

Post dural puncture headache (PDPH) can be observed after any trauma to the dura. The hallmark of PDPH is an increasing headache when assuming the upright position and improvement with the supine position. Diagnosis of PDPH is essentially based on history of dural puncture and clinical presentation. In most cases, if initial conservative therapies fail to provide the relief of symptoms, an epid...

Spinal cord injury (SCI), in addition to motor and sensory problems, may also lead autonomic dysfunction. Postural orthostatic tachycardia syndrome (POTS) is one of them has often been reported traumatic brain injuries, multiple sclerosis, other spinal pathologies. However, there not much data on POTS SCI even extensive databases. We present a case an adolescent female with paraplegia due SCI. ...

Migraine is a common neurovascular disorder characterized by chronic episodic attacks of moderate to severe primary headache involving activation of trigeminal neurons. Despite its prevalence, the pathogenesis of migraine is not clearly understood. The pulsating nature of the headache suggests the involvement of the cranial vasculature in headache pathogenesis. However, current hypotheses empha...

The relationship between spinal anesthesia and hearing loss is not well understood, but is thought to be due to leakages of cerebrospinal fluid, which may or may not induce postural puncture headache. Previous studies have reported no risk of hearing loss in patients under 40 or the obstetric population. We present a case of a young woman who experienced severe sudden unilateral hearing loss af...

(1) Was it not a matter of pure chance that in the absence of signs suggestive of spinal involvement they undertook an MRI exploration of the whole CNS and found a spinal AVM? (2) Can they attribute the headache to the lumbar bleed and explain it on the basis of trigeminal nociceptive receptor stimulation, based on the fact that the patient was a predisposed migraineur? (3) Are they justified i...

OBJECTIVE To compare the frequency and severity of post dural puncture headache in obstetric patients using 25G Quincke, 27G Quincke and 27G Whitacre spinal needles. DESIGN Comparative, randomized, double-blind, interventional study. PLACE AND DURATION OF STUDY Liaquat University Hospital Hyderabad from October 2005 to December 2006. PATIENTS AND METHODS 480 ASA I-II full term pregnant wo...