Received 2/28/2004; revised 4/1/2004; accepted 4/5/2004. For correspondence or reprints contact: Ruoh-Fang Yen, M.D., Department of Nuclear Medicine, National Taiwan University Hospital, 7 Chung-Shan South Road, Taipei 100, Taiwan. Tel: (886)2-23562480, Fax: (886)2-23957855, E-mail: [email protected] It has been postulated that spontaneous intracranial hypotension is caused by the rupture ...

Autoimmune thyroid disorders such as hyperthyroidism and hypothyroidism are rare causes of intracranial pressure alterations. We present a case of spontaneous intracranial hypotension associated with Graves’ disease which was not reported previously in the literature. A 42-year-old woman was admitted to our institution because of a sudden developed headache, neck pain, nausea and vomiting. The ...

This case expands our knowledge of the spectrum of manifestations of spontaneous intracranial hypotension. A 42-year-old man was seen for a third neurolog-ical opinion for obtundation. He presented with a 1-month history of new-onset, daily, intense, right-sided headaches (information about postural precipitation is not available). A magnetic resonance imaging (MRI) scan of the brain showed dif...

In Response To: Salazar R. Spontaneous intracranial hypotension associated with kinetic tremor and ataxia. Tremor Other Hyperkinet Mov. 2016; 6. doi: 10.7916/D8HQ3ZN5.

Spontaneous intracranial hypotension, of which brain slump is an extreme expression, is caused by a cerebrospinal fluid leak. The reason the leak develops in the first place, however, is unknown, and some cases can be very difficult to manage. We describe a patient with severe symptoms of spontaneous intracranial hypotension and brain slump documented by magnetic resonance imaging whose clinica...

We report three patients with spontaneous intracranial hypotension in whom spinal MR imaging revealed ventral extradural fluid collections that were centered at the cervicothoracic junction in two patients and extended throughout the entire spine in the third patient. These spinal fluid collections most likely resulted from the accumulation of CSF at the site of dural leakage. Knowledge of this...

A 44-year-old woman presented with sudden onset of occipital headache and neck stiffness for 3 weeks. The headache was pulling in character and worse in the morning (visual analogue scale pain score of 8). Coughing, straining when passing a stool, and postural change (either going from a lying to an erect position or vice versa) provoked the headache. It was associated with vertigo, nausea, and...

INTRODUCTION Headache is a common presenting complaint and has a wide differential diagnosis. Clinicians need to be alert to clues that may suggest an underlying secondary aetiology. We describe a novel case of headache secondary to intracranial hypotension which was precipitated by the rupture of a spinal arachnoid cyst. CASE REPORT A 51-year-old Indian female presented with sudden onset sev...

BACKGROUND AND PURPOSE CT myelography has historically been the test of choice for localization of CSF fistula in patients with spontaneous intracranial hypotension. This study evaluates the additional benefits of intrathecal gadolinium MR myelography in the detection of CSF leak. MATERIALS AND METHODS We performed a retrospective review of patients with spontaneous intracranial hypotension w...

BACKGROUND AND PURPOSE Spontaneous intracranial hypotension can be a therapeutic challenge to the treating physician. In this study, we present our experience with the administration of a large-volume blood patch to multiple sites in the epidural space through a single-catheter access site. MATERIALS AND METHODS A retrospective review was conducted of patients with spontaneous intracranial hy...