Intracranial hypotension

Diagnosis almost certain

Patient Data

Age: 60

Gender: Female

From the case: Intracranial hypotension

MRI

Sagittal T1

Midsagittal contrast enhanced MRI of the brain in a 60-year-old woman with postural headache shows smooth pachymeningeal enhancement, effacement of cortical sulci (more than would be expected for a 60-year-old person), sagging cerebellar tonsils, and a plump, full pituitary gland. These findings are consistent with intracranial hypotension.