Headache is a common presenting complaint and has a wide differential diagnosis. Clinicians must alert the clues that may suggest an underlying secondary etiology. We describe a new case of headache as secondary intracranial hypotension that arachnoid Cyst was precipitated by the fraction of a spine. Case a 51-year-old Indian female with sudden onset of severe headache suggestively presented a subarachnoid haemorrage. Inspections, including a computer tomography brain scans were normal cerebrospinal of fluid examination and a magnet resonance angiogram. Keep the headache and magnetic resonance imaging reveals bilateral thin subdural collections, a spinal subarachnoid cyst and a right-sided pleural effusion. This was in line with a diagnosis of headache as a secondary intracranial hypotension, as a result of spinal arachnoid cysts rupture.
A rare cause of spontaneous intracranial hypotension is spinal arachnoid cysts rupture. Spontaneous intracranial hypotension is still under diagnosed a heterogeneous condition. It should be daily appeared headache in the differential diagnosis of patients with new-onset function.
