Intracranial hypotension in a breast cancer patient treated with epidural blood patches
We report the case of a patient with metastatic breast cancer who presented with an orthostatic headache. After a comprehensive diagnostic workup including MRI and lumbar puncture, we maintained the diagnosis of intracranial hypotension (IH). The patient was therefore treated with two consecutive no...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2023-03-01
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| Series: | CNS Oncology |
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| Online Access: | https://www.futuremedicine.com/doi/10.2217/cns-2022-0019 |
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| author | Marie-Sophie Minot-This Thomas Grinda Nicolas Epaillard David Guyon Rita El Jawiche Gabriel Garcia Barbara Pistilli |
| author_facet | Marie-Sophie Minot-This Thomas Grinda Nicolas Epaillard David Guyon Rita El Jawiche Gabriel Garcia Barbara Pistilli |
| author_sort | Marie-Sophie Minot-This |
| collection | DOAJ |
| description | We report the case of a patient with metastatic breast cancer who presented with an orthostatic headache. After a comprehensive diagnostic workup including MRI and lumbar puncture, we maintained the diagnosis of intracranial hypotension (IH). The patient was therefore treated with two consecutive non targeted epidural blood patches, resulting in the remission of IH symptoms for 6 months. IH in cancer patients is a rarer cause of headache than carcinomatous meningitis. As the diagnosis can be made by standard examination and the treatment is relatively simple and effective, IH deserves to be better known by oncologists. |
| format | Article |
| id | doaj-art-23c35a623e064dca9e3b44d722e8f432 |
| institution | OA Journals |
| issn | 2045-0907 2045-0915 |
| language | English |
| publishDate | 2023-03-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | CNS Oncology |
| spelling | doaj-art-23c35a623e064dca9e3b44d722e8f4322025-08-20T02:26:02ZengTaylor & Francis GroupCNS Oncology2045-09072045-09152023-03-0112110.2217/cns-2022-0019Intracranial hypotension in a breast cancer patient treated with epidural blood patchesMarie-Sophie Minot-This0Thomas Grinda1Nicolas Epaillard2David Guyon3Rita El Jawiche4Gabriel Garcia5Barbara Pistilli61Department of Medical Oncology, Gustave Roussy, Villejuif, 94800, France1Department of Medical Oncology, Gustave Roussy, Villejuif, 94800, France1Department of Medical Oncology, Gustave Roussy, Villejuif, 94800, France1Department of Medical Oncology, Gustave Roussy, Villejuif, 94800, France2Department of Anaesthesia, Gustave Roussy, Villejuif, 94800, France3Department of Radiology, Gustave Roussy, Villejuif, 94800, France1Department of Medical Oncology, Gustave Roussy, Villejuif, 94800, FranceWe report the case of a patient with metastatic breast cancer who presented with an orthostatic headache. After a comprehensive diagnostic workup including MRI and lumbar puncture, we maintained the diagnosis of intracranial hypotension (IH). The patient was therefore treated with two consecutive non targeted epidural blood patches, resulting in the remission of IH symptoms for 6 months. IH in cancer patients is a rarer cause of headache than carcinomatous meningitis. As the diagnosis can be made by standard examination and the treatment is relatively simple and effective, IH deserves to be better known by oncologists.https://www.futuremedicine.com/doi/10.2217/cns-2022-0019epidural blood patchintracranial hypotensionmetastatic cancerneurological symptomsorthostatic headache |
| spellingShingle | Marie-Sophie Minot-This Thomas Grinda Nicolas Epaillard David Guyon Rita El Jawiche Gabriel Garcia Barbara Pistilli Intracranial hypotension in a breast cancer patient treated with epidural blood patches CNS Oncology epidural blood patch intracranial hypotension metastatic cancer neurological symptoms orthostatic headache |
| title | Intracranial hypotension in a breast cancer patient treated with epidural blood patches |
| title_full | Intracranial hypotension in a breast cancer patient treated with epidural blood patches |
| title_fullStr | Intracranial hypotension in a breast cancer patient treated with epidural blood patches |
| title_full_unstemmed | Intracranial hypotension in a breast cancer patient treated with epidural blood patches |
| title_short | Intracranial hypotension in a breast cancer patient treated with epidural blood patches |
| title_sort | intracranial hypotension in a breast cancer patient treated with epidural blood patches |
| topic | epidural blood patch intracranial hypotension metastatic cancer neurological symptoms orthostatic headache |
| url | https://www.futuremedicine.com/doi/10.2217/cns-2022-0019 |
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