A case report of unexpected clinical course of Spontaneous ?Intracranial Hypotension

J Korean Neurol Assoc > Volume 13(1); 1995 > Article

Journal of the Korean Neurological Association 1995;13(1): 129-133.

자발성 두개내 저압 -뇌의 하방전위로 사망한 1예 -

한시령, 김용재, 김영인, 이광수, 김범생, 주성옥

가톨릭대학교 신경과. 방사선과

A case report of unexpected clinical course of Spontaneous ?Intracranial Hypotension

SR Han, YJ Kim, YI Kim, KS Lee, BS Kim, SW Choo

Department of Neurology & Radiology, Catholic University Medical College

Abstract

Spontaneous intracranial hypotension is a rare syndrome of spontaneously occuring postural headache with low CSF pressure. According to previous several reports, this syndrome usually presented self-limited course, so that conservative treatments were usually reconunended. We experienced an unexpected clinical course in a spontaneous intracranial hypotension case with downward displacement of brain and CSF lea-kage. Therefore, though spontaneous intracranial hypotension usually resolves spontaneously, we recommend careful lumbar puncture and aggressive management in the case of downward displacement of brain on MRI and CSF leakage on radionuclide cister-nography.