Spontaneous intracranial hypotension presenting as mental deterioration

Ping Huang Tsai, Shuu Jiun Wang, Jiing Feng Lirng, Jong Ling Fuh*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

18 Scopus citations

Abstract

A 55-year-old woman had new onset of postural headache followed by change of mental status 3 weeks later. Magnetic resonance imaging (MRI) of the brain and whole spine showed typical spontaneous intracranial hypotension (SIH) findings, bilateral subdural hematoma, and cerebrospinal fluid leakage over the T7-T9. Her headache and mentality improved after epidural blood patches. Early recognition and correct diagnosis are crucial for successful treatment in patients with SIH presenting with mental confusion.

Original languageEnglish
Pages (from-to)76-80
Number of pages5
JournalHeadache
Volume45
Issue number1
DOIs
StatePublished - Jan 2005

Keywords

  • Coma
  • Orthostatic headache
  • Spontaneous intracranial hypotension

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