Teaching NeuroImages: A dangerous complication of spontaneous intracranial hypotension

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Teaching neuroimages: a dangerous complication of spontaneous intracranial hypotension.

A 43-year-old man presented with a nontraumatic orthostatic headache, spatial disorientation, and visual hallucinations ("colored flames"). General and neurologic examination were normal. Turbo spin echo T2-weighted MRI showed bilateral subdural fluid collection and venous sinus engorgement (figure, A), suggesting spontaneous intracranial hypotension (SIH). Two subdural hematomas were also foun...

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Teaching NeuroImages: Intracranial hypotension in a patient with Marfan syndrome.

An 18-year-old man with Marfan syndrome and migraine headaches presented with acute worsening of headaches with postural changes following spinal fusion surgery for scoliosis. Lumbar spine MRI done before surgery showed diffuse dural ectasia (figure 1). Brain MRI after surgery showed distended transverse and sagittal dural venous sinuses and an enlarged pituitary gland suggesting intracranial h...

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Teaching NeuroImages: Spontaneous resolution of a giant intracranial arachnoid cyst.

A giant arachnoid cyst (63 83 11 cm) of left middle cranial fossa was found incidentally in a 3-year-old boy with head MRI examination for increased head circumference (figure 1). Surgical intervention was refused by his parents since the boy was asymptomatic, and the patient was followed up. Repeated MRI performed 2 years later revealed disappearance of the cyst, and the compressed brain tissu...

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Spontaneous intracranial hypotension.

From the Department of Neurology, National Taiwan University Hospital, Taipei, Taiwan; Department of Anatomy and Cell Biology, National Taiwan University College of Medicine, Taipei, Taiwan. Received January 10, 2005. Revised and Accepted January 21, 2005. Reprint requests and correspondence to: Sung-Tsang Hsieh. MD. Department of Neurology, National Taiwan University Hospital, Taipei, Taiwan. ...

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Spontaneous intracranial hypotension.

Spontaneous intracranial hypotension (SIH) is an increasingly recognised syndrome. Postural headache with typical findings on magnetic resonance imaging (MRI) are the key to diagnosis. Orthostatic headache, low cerebrospinal fluid opening pressure, and diffuse meningeal enhancement on post-contrast T1-weighted MRI brain studies are the major features of this increasingly recognised syndrome. He...

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ژورنال

عنوان ژورنال: Neurology

سال: 2014

ISSN: 0028-3878,1526-632X

DOI: 10.1212/wnl.0000000000000213