فهرست نشریات علمی دسترسی آزاد ایران

Introduction: Thesyndromeof spontaneous intracranial hypotension has been increasingly diagnosed since its discovery throughmagnetic resonance imaging (MRI). It is a rare syndrome that is due to the leakage of cerebrospinal fluid (CSF) from a tear in thedura and can occur at any age, even among adolescents, but is most frequently seen among females in late middle age.Case Presentation: Here, we describe a 32-year-oldwomanwith a two-month history of headaches and occasional nausea and vomiting(N/V). MRI without gadolinium was normal, but meningeal enhancement was seen in MRI with gadolinium. The lumbar puncturerevealed a low opening pressure. Computed tomography myelography (CT myelography) showed no leakage; Therefore, idiopathicintracranial hypotension was diagnosed. Treatment was started using tea, and the patient’s headache got significantly betterin about a day.Conclusions: Conservative therapy, such as bed rest and caffeine treatment with eight cups of tea daily, yielded a significant improvementin our patient. Effectively, the patient constitutes a case of idiopathic intracranial hypotension due to undetectable CSFleakage or hyper-absorption, with good response to conservative management through tea-drinking. Further investigations withan appropriate sample size are needed in order toconfirmthis intervention in the treatment of idiopathic intracranial hypotension.