J Korean Neurol Assoc.
2023 Nov;41(4):321-323. 10.17340/jkna.2023.0045.
Spontaneous Intracranial Hypotension Presenting as Progressive Gait Impairment
- Affiliations
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- 1Department of Neurology, Seoul National University Hospital, Seoul, Korea
- 2Departmentof Neurology, Seoul National University College of Medicine, Seoul, Korea
- KMID: 2547623
- DOI: http://doi.org/10.17340/jkna.2023.0045
Abstract
- Orthostatic headache is a hallmark symptom of spontaneous intracranial hypotension (SIH). However, SIH can manifest without headache, which can lead to a significant delay in treatment initiation. We hereby report a 70-year-old male with progressive gait disturbance and superficial siderosis. Magnetic resonance myelography showed an extensive extradural cerebrospinal fluid collection in the cervicothoracic spine. After a series of targeted epidural blood patch, the patient’s symptoms significantly improved. SIH should be considered as a potential cause of otherwise unexplained superficial siderosis to prompt an early diagnosis and treatment.
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