Spontaneous Intracranial Hypotension with Magnetic Resonance Localisation of Spinal Cerebrospinal Fluid Leak
Journal Title: Sultan Qaboos University Medical Journal - Year 2013, Vol 13, Issue 4
Abstract
To increase the awareness of spontaneous intracranial hypotension (SIH), we report in this paper a middle-aged woman who presented with an intractable headache that worsened in sitting and standing positions (a postural headache). Magnetic resonance imaging (MRI) of the spine demonstrated a cerebrospinal fluid (CSF) leak at the level of the cervical spine, in addition to typical features in a brain MRI, including symmetrical subdural collections, circumferential dural enhancement and features of midbrain sagging. Te patient underwent a surgical repair of the cervical CSF leak which resulted in a dramatic symptomatic improvement that was confrmed by follow-up imaging.
Authors and Affiliations
Yahya H. Al-Brashdi| Department of Radiology, Oman Medical Specialty Board, Sameer Raniga| Khoula Hospital, Muscat, Oman, Sharma R. Revati| Khoula Hospital, Muscat, Oman
Keywords
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