Spontaneous dural tear leading to intracranial hypotension and tonsillar herniation in Marfan syndrome: a case report.
BACKGROUND
We describe the case of a 38 year old male with Marfan syndrome who presented with orthostatic headaches and seizures.


METHODS
The patient was diagnosed with Spontaneous Intracranial Hypotension secondary to CSF leaks, objectively demonstrated by MR myelogram with intrathecal contrast. Epidural autologous blood patch was administered at the leakage site leading to significant improvement.


CONCLUSIONS
Our literature search shows that this is the second reported case of a Marfan patient presenting with symptomatic spontaneous CSF leaks along with tonsillar herniation.
Pabaney
Aqueel H
AH
Medical College, Aga Khan University Hospital, Stadium Road, P.O. Box 3500, Karachi, Pakistan.
Mirza
Farhan A
FA
Syed
Nadir A
NA
Ahsan
Humera
H
D000328:Adult; D017217:Blood Patch, Epidural; D001921:Brain / Q000473:pathology; D002555:Cerebrospinal Fluid; D003287:Contrast Media; D004388:Dura Mater / Q000473:pathology*; D004677:Encephalocele / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D019585:Intracranial Hypotension / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D008382:Marfan Syndrome / Q000150:complications*; D013116:Spinal Cord / Q000473:pathology; D014182:Transplantation, Autologous; D016896:Treatment Outcome
D003287:Contrast Media