title: Spontaneous intracranial hypotension from intradural thoracic disc herniation. Case report.
abstract: Spontaneous intracranial hypotension (SIH) may result from occult leaks anywhere along the neuraxis. Although this syndrome has been recognized over the past 10 years in the neurology and radiology literature, the typical magnetic resonance (MR) imaging picture and clinical course are less well known to neurosurgeons. The authors describe the case of a patient with positional headache and MR imaging findings typical of SIH that resulted from an intradural disc herniation.
authors.affiliation: Department of Neurosurgery, Group Health Cooperative, The Fred Hutchinson Cancer Research Center, Seattle, Washington 98112, USA. rapport.r@ghc.org
authors.forename: Richard L
authors.initials: RL
authors.lastname: Rapport
authors.forename: David
authors.initials: D
authors.lastname: Hillier
authors.forename: Tim
authors.initials: T
authors.lastname: Scearce
authors.forename: Camari
authors.initials: C
authors.lastname: Ferguson
mesh_terms: D000328:Adult; D017217:Blood Patch, Epidural; D004388:Dura Mater / Q000503:physiopathology; D005260:Female; D006261:Headache / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000150:complications* / Q000503:physiopathology / Q000628:therapy; D019585:Intracranial Hypotension / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D008279:Magnetic Resonance Imaging; D009192:Myelography / Q000379:methods; D013904:Thoracic Vertebrae / Q000503:physiopathology; D016896:Treatment Outcome