Treatment of idiopathic intracranial hypotension with tea : a case report

الملخص EN

Introduction : Thesyndromeof spontaneous intracranial hypotension has been increasingly diagnosed since its discovery through magnetic resonance imaging (MRI).

It is a rare syndrome that is due to the leakage of cerebrospinal fluid (CSF) from a tear in the dura 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 puncture revealed a low opening pressure.

Computed tomography myelography (CT myelography) showed no leakage; Therefore, idiopathic intracranial hypotension was diagnosed.

Treatment was started using tea, and the patient’s headache got significantly better in about a day.

Conclusions : Conservative therapy, such as bed rest and caffeine treatment with eight cups of tea daily, yielded a significant improvement in our patient.

Effectively, the patient constitutes a case of idiopathic intracranial hypotension due to undetectable CSF leakage or hyper-absorption, with good response to conservative management through tea-drinking.

Further investigations with an appropriate sample size are needed in order toconfirmthis intervention in the treatment of idiopathic intracranial hypotension.