Spontaneous intracranial hypotension resulting in stupor caused by diencephalic compression.

Abstract:

:A 51-year-old man had a 4-month history of progressive headache and gradual onset of somnolence. MRI suggested spontaneous intracranial hypotension (SIH) with diencephalic compression, but he did not improve after three epidural blood patches. He became alert following intrathecal saline infusion that normalized his CSF pressure. A CSF leak was noted on spinal MRI and confirmed with CT contrast myelography. Surgical ligation of a torn dural root sleeve isolating a ruptured Tarlov's cyst resulted in permanent cure.

journal_name

Neurology

journal_title

Neurology

authors

Pleasure SJ,Abosch A,Friedman J,Ko NU,Barbaro N,Dillon W,Fishman RA,Poncelet AN

doi

10.1212/wnl.50.6.1854

subject

Has Abstract

pub_date

1998-06-01 00:00:00

pages

1854-7

issue

6

eissn

0028-3878

issn

1526-632X

journal_volume

50

pub_type

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