Abstract
A patient with severe and protracted symptoms from intracranial hypotension is described. The patient's presentation was marked by diffuse encephalopathy and profound depression of consciousness. This case report expands the presently known clinical spectrum of this uncommon and generally benign illness. The clinical and laboratory findings typically observed in the syndrome of intracranial hypotension are outlined. The pathophysiological mechanisms of the phenomenon are briefly discussed. Intracranial hypotension is a potentially severe illness with specific treatments that are distinct from the treatment of most neurological diseases. Three cardinal features - postural headache, pachymeningitis, and descent of midline cerebral structures - should prompt the diagnosis.
Original language | English (US) |
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Pages (from-to) | 470-473 |
Number of pages | 4 |
Journal | Journal of neurosurgery |
Volume | 89 |
Issue number | 3 |
DOIs | |
State | Published - Sep 1998 |
Externally published | Yes |
Keywords
- Cerebrospinal fluid leak
- Encephalopathy
- Intracranial hypotension
- Pachymeningitis
ASJC Scopus subject areas
- Surgery
- Clinical Neurology