학술논문

Intracranial hypotension in a breast cancer patient treated with epidural blood patches
Document Type
article
Source
CNS Oncology, Vol 12, Iss 1 (2023)
Subject
epidural blood patch
intracranial hypotension
metastatic cancer
neurological symptoms
orthostatic headache
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
Language
English
ISSN
2045-0915
2045-0907
Abstract
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.