title: Chorea as a manifestation of spontaneous CSF leak.
abstract: A 59-year-old man presented with orthostatic headaches, memory complaints, pronounced choreiform movements, and related hyperkinetic dysarthria and titubations. Head MRI findings were suggestive of CSF leak. CSF pressure was low. CT myelography documented CSF leak at the cervicothoracic junction. Targeted epidural blood patch led to resolution of symptoms, including complete disappearance of choreiform movements.
authors.affiliation: Department of Neurology, E8A, Mayo Clinic College of Medicine, 200 First Street S.W., Rochester, MN 55905, USA. bmokri@mayo.edu
authors.forename: Bahram
authors.initials: B
authors.lastname: Mokri
authors.forename: J Eric
authors.initials: JE
authors.lastname: Ahlskog
authors.forename: Patrick H
authors.initials: PH
authors.lastname: Luetmer
mesh_terms: D017217:Blood Patch, Epidural; D002574:Cervical Vertebrae; D002819:Chorea / Q000209:etiology* / Q000503:physiopathology; D004401:Dysarthria / Q000209:etiology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009192:Myelography; D013353:Subdural Effusion / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D013904:Thoracic Vertebrae; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome