Postural tremor as a manifestation of spontaneous intracranial hypotension.
Spontaneous intracranial hypotension (SIH) is a syndrome caused by low cerebrospinal fluid (CSF) pressure due to leakage of CSF. Clinically, orthostatic headache, neck pain, nausea, emesis, interscapular pain, diplopia, dizziness, changes in hearing, visual blurring and radicular upper extremity symptoms are most frequently observed. We describe a 57-year-old man with SIH who presented with postural tremor. CSF leakage was revealed by cranial MRI. Lumbar puncture identified low CSF pressure and intrathecal gadolinium enhanced MR cisternography showed diffuse CSF leakage in the thoracolumbar region. The patient underwent epidural blood patching, which resulted in complete resolution of postural tremor within 2 months.
Turgut
Nilda
N
Department of Neurology, School of Medicine, Trakya University, Edirne 22030, Turkey. nildaturgut@hotmail.com
Unlü
Ercüment
E
Hamamcioğlu
Mustafa Kemal
MK
Güldiken
Babürhan
B
Albayram
Sait
S
D001099:Arachnoid / Q000473:pathology* / Q000503:physiopathology; D016080:Arachnoid Cysts / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology; D017217:Blood Patch, Epidural; D001921:Brain / Q000473:pathology / Q000503:physiopathology; D004388:Dura Mater / Q000473:pathology / Q000503:physiopathology; D005682:Gadolinium; D006225:Hand / Q000503:physiopathology; D006801:Humans; D007024:Hypotension, Orthostatic / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology; D019585:Intracranial Hypotension / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology; D008159:Lumbar Vertebrae; D008279:Magnetic Resonance Imaging; D008297:Male; D008578:Meninges / Q000473:pathology / Q000503:physiopathology; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000503:physiopathology; D013115:Spinal Canal / Q000473:pathology / Q000503:physiopathology; D013346:Subarachnoid Space / Q000473:pathology / Q000503:physiopathology; D013353:Subdural Effusion / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology; D013355:Subdural Space / Q000473:pathology / Q000503:physiopathology; D013904:Thoracic Vertebrae; D016896:Treatment Outcome; D014202:Tremor / Q000209:etiology* / Q000503:physiopathology
D005682:Gadolinium