Camptocormia is defined as an abnormal flexion of the thoracolumbar spine that appears while standing or walking. It is associated with several clinical situations such as parkinsonism, dystonia, and neuromuscular disorders. We present the case of a 33-year-old man who had marked camptocormia with acute onset (video on the Neurology® Web site at Neurology.org). The patient also had a 2-day hist...

Posterior Reversible Encephalopathy Syndrome (PRES) is a clinical neuroradiological condition characterized by insidious onset of neurological symptoms associated with radiological findings indicating posterior leukoencephalopathy. PRES secondary to cerebrospinal fluid (CSF) leak leading to intracranial hypotension is not well recognized etiology of this condition. Herein, we report a case of P...

Chan DWC, et al. BMJ Case Rep 2017. doi:10.1136/bcr-2017-220057 Description A woman aged 67 years was referred with pituitary enlargement identified on CT scan. Imaging was performed to investigate a progressive, incapacitating, 12-month history of nausea, vertigo, gait disturbance and recurrent falls. Her presentation included chronic occipitofrontal headaches, which had increased in severity ...

BACKGROUND AND PURPOSE Optimal diagnosis and management of spontaneous intracranial hypotension remains uncertain. CT-guided blood patching has been described but has not been evaluated in larger case series. We sought to evaluate the efficacy of CT-guided blood patching of observed or potential CSF leaks in spontaneous intracranial hypotension. MATERIALS AND METHODS Patients referred for eva...

CONTEXT Spontaneous intracranial hypotension is caused by spontaneous spinal cerebrospinal fluid (CSF) leaks and is known for causing orthostatic headaches. It is an important cause of new headaches in young and middle-aged individuals, but initial misdiagnosis is common. OBJECTIVE To summarize existing evidence regarding the epidemiology, pathophysiology, diagnosis, and management of spontan...