title: Postural tremor as a manifestation of spontaneous intracranial hypotension.
abstract: 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.
authors.affiliation: Department of Neurology, School of Medicine, Trakya University, Edirne 22030, Turkey. nildaturgut@hotmail.com
authors.forename: Nilda
authors.initials: N
authors.lastname: Turgut
authors.forename: Ercüment
authors.initials: E
authors.lastname: Unlü
authors.forename: Mustafa Kemal
authors.initials: MK
authors.lastname: Hamamcioğlu
authors.forename: Babürhan
authors.initials: B
authors.lastname: Güldiken
authors.forename: Sait
authors.initials: S
authors.lastname: Albayram
mesh_terms: 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
chemical_list: D005682:Gadolinium