Spontaneous intracranial hypotension with magnetic resonance localisation of spinal cerebrospinal fluid leak

Yahya H. Al-Brashdi, Sameer Raniga, Sharma R. Revati

Research output: Contribution to journalArticle

2 Citations (Scopus)

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. The patient underwent a surgical repair of the cervical CSF leak which resulted in a dramatic symptomatic improvement that was confirmed by follow-up imaging.

Original languageEnglish
Pages (from-to)611-615
Number of pages5
JournalSultan Qaboos University Medical Journal
Volume13
Issue number4
Publication statusPublished - Nov 2013

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Keywords

  • Case report
  • Cerebrospinal fluid
  • Hematoma
  • Hypotension
  • Oman
  • Spontaneous intracranial
  • Subdural

ASJC Scopus subject areas

  • Medicine(all)

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