Spontaneous intracranial hypotension presenting as mental deterioration.
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.
Tsai
Ping-Huang
PH
Neurological Institute, Taipei Veterans General Hospital, Taipei, Taiwan.
Wang
Shuu-Jiun
SJ
Lirng
Jiing-Feng
JF
Fuh
Jong-Ling
JL
D017217:Blood Patch, Epidural; D003221:Confusion / Q000209:etiology; D005260:Female; D006261:Headache / Q000209:etiology; D006801:Humans; D019585:Intracranial Hypotension / Q000150:complications* / Q000628:therapy; D001523:Mental Disorders / Q000209:etiology*; D008875:Middle Aged