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  Spontaneous Intracranial Hypotension: Clinical and Imaging Findings [Turk J Neurol]
Turk J Neurol. 2008; 14(1): 37-40

Spontaneous Intracranial Hypotension: Clinical and Imaging Findings

Mustafa Gökçe1, Gülen Demirpolat2, Deniz Tuncel1, Berna Demirdağ1
1Department Of Neurology, Kahramanmaras Sutcu İmam Uninversity, Kahramanmaras, Turkey
2Department Of Radiology, Kahramanmaras Sutcu İmam Uninversity, Kahramanmaras, Turkey

Spontaneous Intracranial Hypotension: Clinical and Imaging Findings
Scientific BACKGROUND: Spontaneous intracranial hypotension (SIH) is a syndrome causing orthostatic headaches due to spontaneous spinal cerebrospinal fluid (CSF) leak. It is an important cause of a new headache in young and middle-aged individuals. Although SIH is not rare, misdiagnosis is common.
Cases: Three middle aged women presented with relatively new orthostatic headache. Pachymeningeal enhancement was seen in their cranial MRI (magnetic resonance imaging). Also there were low CSF pressures in 2 of them but it was normal in the third. After the medical treatment, their complaints and the pachymeningeal enhancement resolved.
CONCLUSION: Being aware of orthostatic character of a headache and imaging findings of SIH could prevent diagnostic delay and serious consequences.

Keywords: spontaneous intracranial hypotension, headache, pachymeningeal enhancement


Mustafa Gökçe, Gülen Demirpolat, Deniz Tuncel, Berna Demirdağ. Spontaneous Intracranial Hypotension: Clinical and Imaging Findings. Turk J Neurol. 2008; 14(1): 37-40

Corresponding Author: Mustafa Gökçe, Türkiye


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