title: Spontaneous intracranial hypotension with magnetic resonance localisation of spinal cerebrospinal fluid leak.
abstract: To increase the awareness of spontaneous intracranial hypotension (SIH), we report in this paper a middle-aged woman who presented with an intractable headache that worsened in sitting and standing positions (a postural headache). Magnetic resonance imaging (MRI) of the spine demonstrated a cerebrospinal fluid (CSF) leak at the level of the cervical spine, in addition to typical features in a brain MRI, including symmetrical subdural collections, circumferential dural enhancement and features of midbrain sagging. The patient underwent a surgical repair of the cervical CSF leak which resulted in a dramatic symptomatic improvement that was confirmed by follow-up imaging.
authors.affiliation: Department of Radiology, Oman Medical Specialty Board, Muscat, Oman.
authors.forename: Yahya H
authors.initials: YH
authors.lastname: Al-Brashdi
authors.forename: Sameer
authors.initials: S
authors.lastname: Raniga
authors.forename: Sharma R
authors.initials: SR
authors.lastname: Revati
keywords: Case Report; Cerebrospinal Fluid; Hematoma, subdural; Hypotension, spontaneous intracranial; Oman