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Spontaneous Intracranial Hypotension Resulting in Stupor Caused by Diencephalic Compression
Neurol 50:1854-1857, Pleasure,S.J.,et al, 1998
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Article Abstract
A 51 year old man had a 4 month history of progressive headache and gradual onset of somnolence.MRI suggested spontaneous intracranial hypotension(SIH)with diencephalic compression but he did not improve after three epidural blood patches.He became alert following intrathecal saline infusion that normalized his CSF pressure.A CSF leak was noted on spinal MRI and confirmed with CT contrast myelography.Surgical ligation of a torn dural root sleeve isolating a ruptured Tarlov's cyst resulted in permanent cure.
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cerebrospinal fluid,leak
headache
headache,positional
MRI
MRI,abnormal
primary intracranial hypotension
somnolence
subdural effusion
subdural hygroma
Tarlov's cyst
treatment of neurologic disorder
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