Spontaneous intracranial hypotension resulting in stupor caused by diencephalic compression

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

Research output: Contribution to journalArticle

120 Citations (Scopus)

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
StatePublished - Jun 1998
Externally publishedYes

Fingerprint

Tarlov Cysts
Epidural Blood Patch
Intracranial Hypotension
Stupor
Myelography
Ligation
Headache
Pressure

ASJC Scopus subject areas

  • Neuroscience(all)

Cite this

Pleasure, S. J., Abosch, A., Friedman, J., Ko, N. U., Barbaro, N., Dillon, W., ... Poncelet, A. N. (1998). Spontaneous intracranial hypotension resulting in stupor caused by diencephalic compression. Neurology, 50(6), 1854-1857.

Spontaneous intracranial hypotension resulting in stupor caused by diencephalic compression. / Pleasure, Samuel J.; Abosch, A.; Friedman, J.; Ko, N. U.; Barbaro, Nicholas; Dillon, W.; Fishman, R. A.; Poncelet, A. N.

In: Neurology, Vol. 50, No. 6, 06.1998, p. 1854-1857.

Research output: Contribution to journalArticle

Pleasure, SJ, Abosch, A, Friedman, J, Ko, NU, Barbaro, N, Dillon, W, Fishman, RA & Poncelet, AN 1998, 'Spontaneous intracranial hypotension resulting in stupor caused by diencephalic compression', Neurology, vol. 50, no. 6, pp. 1854-1857.
Pleasure SJ, Abosch A, Friedman J, Ko NU, Barbaro N, Dillon W et al. Spontaneous intracranial hypotension resulting in stupor caused by diencephalic compression. Neurology. 1998 Jun;50(6):1854-1857.
Pleasure, Samuel J. ; Abosch, A. ; Friedman, J. ; Ko, N. U. ; Barbaro, Nicholas ; Dillon, W. ; Fishman, R. A. ; Poncelet, A. N. / Spontaneous intracranial hypotension resulting in stupor caused by diencephalic compression. In: Neurology. 1998 ; Vol. 50, No. 6. pp. 1854-1857.
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