Chorea as a manifestation of spontaneous CSF leak.
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.
Mokri
Bahram
B
Department of Neurology, E8A, Mayo Clinic College of Medicine, 200 First Street S.W., Rochester, MN 55905, USA. bmokri@mayo.edu
Ahlskog
J Eric
JE
Luetmer
Patrick H
PH
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