Annals of Indian Academy of Neurology
  Users Online: 4951 Home | About the Journal | InstructionsCurrent Issue | Back IssuesLogin      Print this page Email this page  Small font size Default font size Increase font size
CASE REPORT
Year : 2013  |  Volume : 16  |  Issue : 1  |  Page : 85-87

Paradoxical presentation of orthostatic headache associated with increased intracranial pressure in patients with cerebral venous thrombosis


Department of Neurology, Korea University College of Medicine, Korea

Correspondence Address:
Do-Young Kwon
Department of Neurology, Korea University Ansan Hospital, 516 Gojan-1-dong, Danwon-gu, Ansan-city, Gyeonggi-do [425-707]
Korea
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-2327.107705

Rights and Permissions

Headache is the most common symptom of cerebral venous thrombosis (CVT); however, the detailed underlying mechanisms and characteristics of headache in CVT have not been well described. Here, we report two cases of CVT whose primary and lasting presentation was orthostatic headache, suggestive of decreased intracranial pressure. Contrary to our expectations, the headaches were associated with elevated cerebrospinal fluid (CSF) pressure. Magnetic resonance imaging and magnetic resonance venography showed characteristic voiding defects consistent with CVT. We suggest that orthostatic headache can be developed in a condition of decreased intracranial CSF volume in both intracranial hypotensive and intracranial hypertensive states. In these cases, orthostatic headache in CVT might be caused by decreased intracranial CSF volume that leads to the inferior displacement of the brain and traction on pain-sensitive intracranial vessels, despite increased CSF pressure on measurement. CVT should be considered in the differential diagnosis when a patient complains of orthostatic headache.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed2704    
    Printed72    
    Emailed0    
    PDF Downloaded64    
    Comments [Add]    
    Cited by others 1    

Recommend this journal