Spontaneous intracranial hypotension; three case reports with similar clinical manifestations, treated successfully using different management techniques.

Spontaneous Intracranial hypotension (SIH) is a rare neurological disorder, characterized by orthostatic headaches. Due to the complicity of its diagnosis and lack of awareness amongst physicians, SIH remains an under-diagnosed disease and its true prevalence remains unknown. It is a reversible condition, if diagnosed early. Delay in diagnosis can result in life threatening complications.Case Reports:We present a case series of three patients who presented with typical symptoms of SIH. But management course of each patient varied. The first patient responded well to the EBP (epidural blood patch) while the second improved with conventional symptomatic treatment. The third patient needed a surgical intervention for complication developed due to SIH. This case series hence covers a variety of treatment options for patients with SIH.Conclusion:SIH is an emerging challenge for neurologists worldwide. Awareness amongst physicians regarding this disease along with a high level of suspicion and good history skills will allow early diagnosis of the disease and prevent delay in treatment and hence complications