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Atypical Spontaneous Intracranial Hypotension With a Head-Shaking Headache


  • Conflict of Interest: None for all authors.

  • Any sources of financial support: None.

  • Patient informed consent: We got a written form with signature from the patient.

D-Y. Kwon, Department of Neurology, Korea University Ansan Hospital, 516 Gojan-1-dong, Danwon-gu, Ansan-city, Gyeonggi-do 425-707, Korea.


Spontaneous intracranial hypotension (SIH) is typically characterized by orthostatic headache; however, various atypical manifestations of SIH have been reported recently. We report here the case of a 46-year-old man with headache secondary to SIH, which was nonorthostatic, triggered only when the patient shook his head. We suggest that SIH should be suspected in patients with headache induced by head-shaking, even without orthostatic features, especially when the headache is accompanied by other symptoms commonly associated with SIH.