Spontaneous Intracranial Hypotension Presenting as Progressive Gait Impairment
Journal of the Korean Neurological Association
;
: 321-323, 2023.
Article
in Korean
| WPRIM
| ID: wpr-1001747
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.
Full text:
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Index:
WPRIM (Western Pacific)
Language:
Korean
Journal:
Journal of the Korean Neurological Association
Year:
2023
Type:
Article
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