MRI changes in intracranial hypotension Academic Article uri icon

Overview

MeSH Major

  • Brain
  • Intracranial Pressure
  • Meningeal Neoplasms
  • Meningitis

abstract

  • We report seven patients with the syndrome of intracranial hypotension who were referred to Memorial Sloan-Kettering, primarily because of suspicion of meningeal tumor or infection raised by the finding of meningeal enhancement on MRI. In three patients, symptoms occurred after lumbar puncture; in four, there was no clear precipitating event. Lumbar puncture after MRI in six patients revealed low CSF pressure (six patients) and pleocytosis or high protein, or both (four patients). Three patients had subdural effusions. Six patients had measurable descent of the brain on midsagittal images. Postural headache resolved in all seven patients, six of whom had follow-up MRIs. Meningeal enhancement resolved or diminished in all six. Subdural effusions resolved spontaneously in two and were evacuated (but were not under pressure) in one. Downward brain displacement improved or resolved in all patients. The clinical syndrome and MRI abnormalities generally resolve on their own. An extensive workup is not helpful and may be misleading. Patients should be treated symptomatically.

publication date

  • May 1993

Research

keywords

  • Academic Article

Identity

Language

  • eng

PubMed ID

  • 8492946

Additional Document Info

start page

  • 919

end page

  • 26

volume

  • 43

number

  • 5