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AJNR Am J Neuroradiol. 2014 Jun;35(6):1237-40. doi: 10.3174/ajnr.A3841. Epub 2014 Jan 9.

Rebound intracranial hypertension: a complication of epidural blood patching for intracranial hypotension.

Author information

1
From the Department of Radiology (P.G.K., L.G.), Duke University Medical Center, Durham, North Carolina peter.kranz@duke.edu.
2
Department Radiology and Radiological Science (T.J.A.), Medical University of South Carolina, Charleston, South Carolina.
3
From the Department of Radiology (P.G.K., L.G.), Duke University Medical Center, Durham, North Carolina.

Abstract

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.

PMID:
24407273
DOI:
10.3174/ajnr.A3841
[Indexed for MEDLINE]
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