title: A thin line between Meniere's disease and spontaneous intracranial hypotension syndrome.
abstract: OBJECTIVE
  To point out the similarity of Meniere disease and spontaneous intracranial hypotension and difference of their treatment.
  
  
  METHODS
  A case of a 54-year-old male patient with previously diagnosed Meniere's disease and newly diagnosed spontaneous intracranial hypotension syndrome is presented. Additional neuroradiological examination, Brain contrast-enhanced MRI and MR myelography were used for diagnosis.
  
  
  RESULTS
  Due to deterioration of vertigo, hearing loss and tinnitus in the right ear the patient was referred to the additional neuroradiological examination which confirmed the diagnosis of spontaneous intracranial hypotension syndrome. Brain contrast-enhanced MRI showed increased pachymeningeal contrast enhancement, and MR myelography identified the location of CSF leak. The patient was successfully treated conservatively.
  
  
  CONCLUSIONS
  According to our knowledge this is the fifth case report of Meniere's disease and spontaneous intracranial hypotension coexistence. Both diseases have similar clinical presentation and initial treatment. We suggest procedures of additional examination when the treatment fails and initial diagnosis becomes questionable.
authors.affiliation: Department of Otorhinolaryngology, University Hospital Centre, Zagreb; Croatia.
authors.forename: Iva
authors.initials: I
authors.lastname: Botica
authors.affiliation: Department of Neurology, University Hospital Clinic Dubrava, Zagreb; Croatia.
authors.forename: Anđelko
authors.initials: A
authors.lastname: Vrca
authors.affiliation: Department of Radiology, University Hospital Clinic Dubrava, Zagreb; Croatia.
authors.forename: Martina
authors.initials: M
authors.lastname: Špero
authors.affiliation: Department of Otorhinolaryngology, University Hospital Clinic Dubrava, Zagreb; Croatia.
authors.forename: Marin
authors.initials: M
authors.lastname: Šubarić
authors.affiliation: Department of Otorhinolaryngology, University Hospital Clinic Dubrava, Zagreb; Croatia.
authors.forename: Tomislav
authors.initials: T
authors.lastname: Carić
authors.affiliation: Department of Family Medicine, School of Public Health ''Andrija Štampar'', University of Zagreb, Zagreb; Croatia.
authors.forename: Marija
authors.initials: M
authors.lastname: Vrca Botica
authors.affiliation: Department of Otorhinolaryngology, University Hospital Clinic Dubrava, Zagreb; Croatia.
authors.forename: Jelena
authors.initials: J
authors.lastname: Kovačić
authors.affiliation: Department of Otorhinolaryngology, Clinical Hospital Merkur, Zagreb; Croatia.
authors.forename: Kristijan
authors.initials: K
authors.lastname: Makaruha
authors.affiliation: Department of Radiology, University Hospital Centre, Zagreb; Croatia.
authors.forename: Aleksandra
authors.initials: A
authors.lastname: Roglić
mesh_terms: D000072700:Conservative Treatment; D003937:Diagnosis, Differential; D006801:Humans; D019585:Intracranial Hypotension / Q000000981:diagnostic imaging*; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D008575:Meniere Disease / Q000000981:diagnostic imaging*; D008875:Middle Aged; D009192:Myelography / Q000379:methods
keywords: cerebrospinal fluid leakage; intracranial hypotension; otogenic vertigo