Presentation
Presented with headache and giddiness for one month. No history of trauma. Plain CT brain was normal.
Patient Data
Age: 45 year
Gender: Male
From the case:
Intracranial hypotension
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Smooth thickening and enhancement of the pachymeninges. No focal lesions are seen. The posterior superior sagittal sinus appears convex.
Case Discussion
The differential diagnosis for smooth diffuse pachymeningeal thickening is relatively broad but when combined with dural venous sinus engorgements suggests the diagnosis of spontaneous intracranial hypotension.
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