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Title: Spontaneous intracranial hypotension presenting as a reversible dorsal midbrain syndrome.
Authors: Fedi, Marco;Cantello, Roberto;Shuey, Neil H;Mitchell, L Anne;Comi, Cristoforo;Monaco, Francesco;Versino, Maurizio
Affiliation: Department of Neurology, Austin Health, Heidelberg, Victoria, Australia.
Issue Date: 1-Dec-2008
Citation: Journal of Neuro-ophthalmology : the Official Journal of the North American Neuro-ophthalmology Society; 28(4): 289-92
Abstract: A 47-year-old woman with postural headache, episodic stupor, and vertical gaze palsy had brain imaging findings consistent with spontaneous intracranial hypotension (SIH), including severe descent of the mesodiencephalic structures and diffuse pachymeningeal enhancement. The source of the cerebrospinal fluid leakage was a ruptured dorsal perineural cyst. Clinical symptoms improved after a targeted epidural blood patch was performed. Dorsal midbrain syndrome has not been reported previously as a manifestation of SIH. Perhaps distortion of structures in this brain region can occur in SIH as it does in obstructive hydrocephalus.
Internal ID Number: 19145127
DOI: 10.1097/WNO.0b013e31818eb48d
Type: Journal Article
Subjects: Blood Patch, Epidural
Cerebrospinal Fluid Pressure.physiology
Intracranial Hypotension.complications.pathology.physiopathology
Magnetic Resonance Imaging
Middle Aged
Ocular Motility Disorders.etiology.pathology.physiopathology
Recovery of Function.physiology
Spinal Canal.physiopathology
Thoracic Vertebrae
Tomography, X-Ray Computed
Treatment Failure
Appears in Collections:Journal articles

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