Spontaneous intracranial hypotension is an increasingly recognized cause of atypical, secondary headaches. Nevertheless, its clinical and imaging spectrum is far from an exhaustive definition, ranging from straightforward cases with unambiguous findings and prompt response to treatment to more challenging ones, requiring advanced, more complex imaging and targeted therapies. We describe two unusual cases as a cue to draw a literature-based, practical approach to the management of the syndrome.
La hipotensión intracraneal espontánea es cada vez más reconocida como causa de cefalea secundaria atípica. Su espectro clínico y de imágenes está lejos de ser exhaustivamente definido, y varía desde casos simples con hallazgos inequívocos y pronta respuesta al tratamiento a los más desafiantes, que requieren imágenes avanzadas y terapias dirigidas. Describimos 2 casos como una señal para dibujar un enfoque práctico basado en la literatura para el manejo de este síndrome.
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