What is the cause of Low CSF HEADACHE, My partner was concrete cutting with a backpack saw.?
He was bending over cutting a concrete floor for about 3-4 hours before the headache came. spoke to his work mates, then took some panadol and returned to cut the floor.Came home and fell asleep on the lounge, which is out character for my partner. and he’s still got the intense headaches, it’s been nearlly 9 week’s and no changes, I have read alot of websites regarding the low csf leak / headaches.
When he’s cutting concrete is he using a solvent liquid that goes on the floor to hold the concrete in place? My brother use to tile and can’t do it anymore.. it was something in the paste to make the tiles stick that made him get those headaches.
or it could be this
Headache in Pseudotumor Cerebri
Pseudotumor cerebri, also known as idiopathic intracranial hypertension, is a disorder of unknown etiology with an incidence of one per 100,000 population and an onset usually in persons between the ages of 11 and 58, with a mean age of 31 years. Ninety percent of patients are young, obese women. Headache is present in 75% or more of patients, papilledema in 95%, a cranial nerve VI palsy in 25%, transient visual obscurations in 70%, visual loss in 30%, and roaring noises in 70%. The headaches, which are usually pulsatile, daily, and continuous, can be unilateral or bilateral, with a bifrontotemporal location being the most common. Nausea is present in about 60% of cases, and vomiting is present in 40%.
The diagnosis of pseudotumor cerebri is one of exclusion, because there are many other causes of papilledema. Testing includes a scan of the brain. MRI is more sensitive than CT scan, and magnetic resonance venography will exclude cerebral venous thrombosis. If the brain scan is negative, a lumbar puncture should be done. The opening pressure is usually elevated and the CSF analysis is normal, except for a low CSF protein level in some cases.
Treatments include weight loss and diuretics to decrease CSF production. Diuretics used in pseudotumor cerebri include acetazolamide, starting with a dosage of 500 mg twice daily and increasing to as much as 1 g twice daily, if necessary, and furosemide, starting at 20 mg twice daily and increasing to as much as 40 mg three times daily. Patients taking furosemide should also receive potassium supplementation. Migraine preventive medications can be useful for persistent headache. Topirimate is especially useful because weight loss is a side effect.66 Funduscopic exam, visual acuity, and visual fields should be closely monitored to help prevent visual loss. Corticosteroids can be used for emergency treatment of impending visual loss. Surgery may be considered for patients who do not respond to medical treatment and are experiencing progressive visual loss. Surgical options are optic nerve sheath fenestration and lumboperitoneal shunting.
Has he gone to the dr for a MRI and CAT SCAN?
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