J Korean Child Neurol Soc.  2018 Jun;26(2):105-108. 10.26815/jkcns.2018.26.2.105.

A Case of Spontaneous Intracranial Hypotension Accompanied by Acute Kidney Injury in a Child

Affiliations
  • 1Department of Pediatrics, Busan Paik Hospital, Inje University College of Medicine, Busan, Korea. bototii@paik.ac.kr
  • 2Department of Radiology, College of Medicine, Inje University Busan Paik Hospital, Busan, Korea.

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 Hâ‚‚O). 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.

Keyword

Intracranial hypotension; Child; Headache; Acute kidney injury

MeSH Terms

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
Creatinine
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