RT Journal Article
SR Electronic
T1 Rebound Intracranial Hypertension: A Complication of Epidural Blood Patching for Intracranial Hypotension
JF American Journal of Neuroradiology
JO Am. J. Neuroradiol.
FD American Society of Neuroradiology
SP 1237
OP 1240
DO 10.3174/ajnr.A3841
VO 35
IS 6
A1 P.G. Kranz
A1 T.J. Amrhein
A1 L. Gray
YR 2014
UL http://www.ajnr.org/content/35/6/1237.abstract
AB SUMMARY: Rebound intracranial hypertension is a complication of epidural blood patching for treatment of intracranial hypotension characterized by increased intracranial pressure, resulting in potentially severe headache, nausea, and vomiting. Because the symptoms of rebound intracranial hypertension may bear some similarity to those of intracranial hypotension and literature reports of rebound intracranial hypertension are limited, it may be mistaken for refractory intracranial hypotension, leading to inappropriate management. This clinical report of 9 patients with confirmed rebound intracranial hypertension reviews the clinical characteristics of patients with this condition, emphasizing factors that can be helpful in discriminating rebound intracranial hypertension from refractory spontaneous intracranial hypotension, and discusses treatment. SIHspontaneous intracranial hypotensionRIHrebound intracranial hypertensionEBPepidural blood patchingLPlumbar puncture