Spontaneous intracranial hypotension resulting in stupor caused by diencephalic compression

Samuel J. Pleasure, A. Abosch, J. Friedman, N. U. Ko, N. Barbaro, W. Dillon, R. A. Fishman, A. N. Poncelet

Research output: Contribution to journalArticlepeer-review

124 Scopus citations

Abstract

A 51-year-old man had a 4-month history of progressive headache and gradual onset of somnolence. MRI suggested spontaneous intracranial hypotension (SIH) with diencephalic compression, but he did not improve after three epidural blood patches. He became alert following intrathecal saline infusion that normalized his CSF pressure. A CSF leak was noted on spinal MRI and confirmed with CT contrast myelography. Surgical ligation of a torn dural root sleeve isolating a ruptured Tarlov's cyst resulted in permanent cure.

Original languageEnglish (US)
Pages (from-to)1854-1857
Number of pages4
JournalNeurology
Volume50
Issue number6
DOIs
StatePublished - Jun 1998

ASJC Scopus subject areas

  • Clinical Neurology

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