The treatment of low cranial pressure headache includes etiologic treatment, drug treatment, epidural blood patch therapy, symptomatic therapy and so on.
1. Etiological treatment: treat the causes of low cranial pressure, such as cerebrospinal fluid leakage can be considered for fistula repair; diabetic ketoacidosis can be treated with insulin to reduce glucose and other treatments.
2. Drug therapy: consider the use of caffeine benzoate and other drugs to promote intracranial vasoconstriction, increase cerebrospinal fluid pressure, relieve headache.
3. Epidural blood patch therapy: mainly used for headache after lumbar puncture and spontaneous low cranial pressure, with autologous blood 10~20ml slowly injected into the lumbar or thoracic epidural space, blood upward filling several vertebral spaces, compression of the dural sac and blockage of cerebrospinal fluid leakage outlets, which can help to relieve the symptoms of headache.
4. Symptomatic treatment: take the decubitus position or the head-low-feet-height position for bed rest; drink a lot of water, and the daily water intake should be about 3500~400ml; intravenous rehydration, saline or 5% dextrose solution can be used; wear tight pants and corsets.
There are many causes of low cranial pressure headache, it is recommended to seek medical treatment as soon as possible to clarify the cause of the disease and formulate a reasonable treatment plan according to the actual condition.