Spontaneous Intracranial Hypotension Associated with Postural Tachycardia Syndrome.

Spontaneous Intracranial Hypotension Associated with Postural Tachycardia Syndrome. Intern Med. 2019 May 22;: Authors: Kato Y, Hayashi T, Arai N, Tanahashi N, Takahashi K, Takao M Abstract Postural tachycardia syndrome (POTS) can cause orthostatic headache. However, it is difficult to differentiate POTS from spontaneous intracranial hypotension (SIH) caused by cerebrospinal fluid (CSF) leaks. We herein report a 53-year-old woman who presented with SIH associated with POTS. A cervicothoracic and lumbar epidural blood patch rapidly improved not only the headache but also the orthostatic tachycardia, suggesting POTS secondary to SIH. This case suggests that a CSF leak can cause secondary POTS. Therefore, POTS should be considered in patients with orthostatic headaches, even in the presence of a CSF leak. PMID: 31118385 [PubMed - as supplied by publisher]
Source: Internal Medicine - Category: Internal Medicine Tags: Intern Med Source Type: research