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Question
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Which statement is not true regarding headache in spontaneous intracranial hypotension?
Explanation
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In spontaneous intracranial hypotension, the classical postural headache in upright position, relieved by lying down is not seen in 24% of cases. Also, complications like subdural hemorrhage and venous sinus thrombosis will cause change in headache pattern. Hypoacusis (25%), and tinnitus (18%) are common as are nausea (42%) and photophobia (16%). Headache can be triggered by Valsalva and exertion mimicking exercise headache. Thunderclap headache has also been reported.
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Reference
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Wang S. Spontaneous Intracranial Hypotension. Continuum 2021 27(3 Headache) 746-766
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Option 1
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Is Correct (Option 1):
Orthostatic headache relieved by lying down is essential for diagnosis
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Option 2
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Is Correct (Option 2):
Hypoacusis, tinnitus and vertigo are common
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Option 3
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Is Correct (Option 3):
Headache may mimic exercise headache
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Option 4
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Is Correct (Option 4):
Thunderclap headache has been reported
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