A Case of Spontaneous Intracranial Hypotension Accompanied by Acute Kidney Injury in a Child.
10.26815/jkcns.2018.26.2.105
- Author:
Eun Jeong KIM
1
;
Sun Joo LEE
;
Bo Lyun LEE
Author Information
1. Department of Pediatrics, Busan Paik Hospital, Inje University College of Medicine, Busan, Korea. bototii@paik.ac.kr
- Publication Type:Case Report
- Keywords:
Intracranial hypotension;
Child;
Headache;
Acute kidney injury
- MeSH:
Acute Kidney Injury*;
Back Pain;
Bed Rest;
Blood Urea Nitrogen;
Brain;
Cerebrospinal Fluid Leak;
Child*;
Connective Tissue;
Creatinine;
Follow-Up Studies;
Headache;
Hematologic Tests;
Humans;
Intracranial Hypotension*;
Low Back Pain;
Magnetic Resonance Imaging;
Male;
Migraine Disorders;
Myelography;
Neck;
Neurologic Examination;
Spine;
Walking
- From:
Journal of the Korean Child Neurology Society
2018;26(2):105-108
- CountryRepublic of Korea
- Language:English
-
Abstract:
Spontaneous intracranial hypotension in childhood is rare, and a few cases have been reported as a cause of headache in children. A 9-year-old boy was admitted to our hospital with a 3-day history of new-onset headache that worsened upon standing or walking, and aggravating low back pain. No medical history of injury, connective tissue disorder or migraine was detected. A neurological examination revealed neck stiffness. His initial blood tests suggested acute kidney injury by increased blood urea nitrogen (BUN) and creatinine. Brain computed tomography (CT) and cerebral spinal fluid (CSF) analysis were normal: however, opening pressure was low (< 60 mm H₂O). Magnetic resonance imaging (MRI) of the spine showed a collection of cerebral spinal fluid in the dorsal extradural space throughout the entire thoracic and lumbar spine level. The patient was diagnosed as having spontaneous intracranial hypotension accompanied by acute kidney injury. Magnetic resonance myelography and spinal MRI performed 14 days later did not show any cerebrospinal fluid leak. The headache and back pain were alleviated with strict bed rest and hydration. He remained free of headache and back pain at the 2-month follow-up. Here, we report a case of a 9-year-old boy with spontaneous intracranial hypotension.